Engleking RX Marengo LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ENGLEKING RX MARENGO LLC

Doing business as

Engleking Rx

Practice address

125 W Old Short St
Marengo, IN 47140-3225

Phone

(812) 365-0001

Fax

(812) 365-2111

NPI assigned

Jun 25, 2020

Last updated

Jan 26, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ryan Neal EnglekingNPI 1134753973

Title

Member

Phone

(812) 365-0001

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Engleking Rx Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Engleking, RPH

  • Pharmacist
  • Mitchell, IN
  • NPI 1134753973
  NPD Authorized official
• Charlotte Wilson, PHARMD

  • Ambulatory Care Pharmacist
  • Mitchell, IN
  • NPI 1780218693
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1457978439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1494 W MAIN ST",
            "city": "MITCHELL",
            "state": "IN",
            "postal_code": "474469493",
            "telephone_number": "812-365-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W OLD SHORT ST",
            "city": "MARENGO",
            "state": "IN",
            "postal_code": "471403225",
            "telephone_number": "812-365-0001",
            "fax_number": "812-365-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEKING RX MARENGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "ENGLEKING",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "812-365-0001"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300043109",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Engleking Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Engleking Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crawford County Community School Corp
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• Howard D Detweiler, N. P.
• Jefferson Street Holdings LLC (The Little Green Door)
• Deborah J. Reichenbach, MDIV, MA
• Christi Lee Self, F.N.P.
• Jennifer Dawn Shafer, N.P.
• Southern Indiana Community Health Care, Inc (Crawford County Family Health Care)

• Community/Retail Pharmacy in Marengo, IN
• Providers in Marengo, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.