NPIMap

Organization Active NPI

State of Indiana Auditor of State

Doing business as Evansville State Hospital Pharmacy

  • Institutional Pharmacy
  • Evansville, IN
National Provider Identifier
1598706459
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
60000751A Issued in IN
Legal business name
STATE OF INDIANA AUDITOR OF STATE
Doing business as
Evansville State Hospital Pharmacy
Practice address
3400 Lincoln Ave
Evansville, IN 47714-0147
Phone
(812) 469-6800
Fax
(812) 469-6825
NPI assigned
Jun 9, 2006
Last updated
Sep 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Authorized official

Name
Amy Ary, PHARMD
Title
Pharmacy Director
Phone
(812) 469-6800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Institutional Pharmacy 3336I0012X 60000751A IN Primary

Addresses

Primary practice location

3400 Lincoln Ave
Evansville, IN 47714-0147

Mailing address

3400 Lincoln Ave
Evansville, IN 47714-0147
Phone (812) 469-6800

Other identifiers 1

IdentifierTypeStateIssuer
2025178OtherPK

Other names 1

  • EVANSVILLE STATE HOSPITAL PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
State Board of Health32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1598706459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LINCOLN AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140147",
            "telephone_number": "812-469-6800",
            "fax_number": "812-469-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LINCOLN AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140147",
            "telephone_number": "812-469-6800",
            "fax_number": "812-469-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF INDIANA AUDITOR OF STATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "ARY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "812-469-6800",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "IN",
            "license": "60000751A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2025178",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVANSVILLE STATE HOSPITAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.