Organization Active NPI

Robbins Inc

  • Community/Retail Pharmacy
  • La Porte, IN
National Provider Identifier
1508892852
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
60006111A Issued in IN
Legal business name
ROBBINS INC
Practice address
702 E Lincolnway
La Porte, IN 46350-3889
Phone
(219) 362-7133
Fax
(219) 362-2833
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Mark Henry RobbinsNPI 1457620734
Title
Owner/Pharmacist
Phone
(219) 210-5120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 60006111A IN Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

702 E Lincolnway
La Porte, IN 46350-3889

Mailing address

702 E Lincolnway
La Porte, IN 46350-3889
Phone (219) 362-7133

Other identifiers 3

IdentifierTypeStateIssuer
1512789OtherNCPDP PROVIDER IDENTIFICATION NUMBER
200886300AMedicaidIN
300078339MedicaidIN

Other names 1

  • Phil's Discount Drugs Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240118001336 IN Part B Supplier - Mass Immunization (Roster Biller Only) 1759733454 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: La Porte, IN; Michigan City, IN

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

702 E Lincolnway
Laporte, IN 46350
Phone (219) 362-7133

Practitioners & affiliated clinicians

Practitioners 4

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": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1508892852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 E LINCOLNWAY",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503889",
            "telephone_number": "219-362-7133",
            "fax_number": "219-362-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 E LINCOLNWAY",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503889",
            "telephone_number": "219-362-7133",
            "fax_number": "219-362-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBBINS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "219-210-5120"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006111A",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1512789",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200886300A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300078339",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phil's Discount Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Porte, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.