Organization Active NPI

Family Pharmacare Center, Inc

  • Community/Retail Pharmacy
  • West Lafayette, IN
National Provider Identifier
1558311639
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
6005612A Issued in IN
Legal business name
FAMILY PHARMACARE CENTER, INC
Practice address
500 Sagamore Pkwy W
Suite 5W
West Lafayette, IN 47906-1459
Phone
(765) 497-7000
Fax
(765) 497-7587
NPI assigned
May 11, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Chad R Shedron, PHARM.D.
Title
President
Phone
(765) 497-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 6005612A IN Primary

Addresses

Primary practice location

500 Sagamore Pkwy W
Suite 5W
West Lafayette, IN 47906-1459

Mailing address

500 Sagamore Pkwy W
Suite 5W
West Lafayette, IN 47906-1459
Phone (764) 497-7000

Other identifiers 1

IdentifierTypeStateIssuer
153053-5OtherINNABP (AKA: NCPDP)

National Provider Directory

National Provider Directory

Locations

500 Sagamore Pkwy W
Ste 5W
West Lafayette, IN 47906
Phone (765) 497-7000

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1558311639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SAGAMORE PKWY W",
            "address_2": "SUITE 5W",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061459",
            "telephone_number": "764-497-7000",
            "fax_number": "765-497-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SAGAMORE PKWY W",
            "address_2": "SUITE 5W",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061459",
            "telephone_number": "765-497-7000",
            "fax_number": "765-497-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHARMACARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SHEDRON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-497-7000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "6005612A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP (AKA: NCPDP)",
            "identifier": "153053-5",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.