Organization Active NPI

Phillips Drugs Inc

  • Community/Retail Pharmacy
  • Richmond, IN
National Provider Identifier
1508043092
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
60006121A Issued in IN
Legal business name
PHILLIPS DRUGS INC
Practice address
1390 National Rd W
Richmond, IN 47374-5143
Phone
(765) 966-5546
Fax
(765) 966-1497
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Ray Zaleski
Title
President
Phone
(765) 966-5544

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 60006121A IN Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

1390 National Rd W
Richmond, IN 47374-5143

Mailing address

631 E Main St
Richmond, IN 47374-4309
Phone (765) 966-5546

Other identifiers 2

IdentifierTypeStateIssuer
200885550AMedicaidIN
2025759OtherPK

Other names 1

  • PHILLIPS DRUGS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181102000441 IN Part B Supplier - Mass Immunization (Roster Biller Only) 9830215417 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Richmond, IN

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1390 National Rd W
Richmond, IN 47374
Phone (765) 966-5546

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1508043092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 E MAIN ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473744309",
            "telephone_number": "765-966-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 NATIONAL RD W",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473745143",
            "telephone_number": "765-966-5546",
            "fax_number": "765-966-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "ZALESKI",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-966-5544"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006121A",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200885550A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2025759",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHILLIPS DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.