Organization Active NPI

Faulkenberg Harth Inc

Doing business as Rockport Pharmacy

  • Community/Retail Pharmacy
  • Rockport, IN
National Provider Identifier
1598845547
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
60006020A Issued in IN
Legal business name
FAULKENBERG HARTH INC
Doing business as
Rockport Pharmacy
Practice address
400 Main St
Rockport, IN 47635-1420
Phone
(812) 649-9181
Fax
(812) 649-4758
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Authorized official

Name
Garland Faulkenberg, RPH
Title
Phcy Manager
Phone
(812) 649-9181

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 60006020A IN Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

400 Main St
Rockport, IN 47635-1420

Mailing address

400 Main St
Rockport, IN 47635-1420
Phone (812) 649-9181

Other identifiers 2

IdentifierTypeStateIssuer
1598845547OtherINNPI
1561213OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • ROCKPORT PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

400 Main St
Rockport, IN 47635
Phone (812) 649-9181

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1598845547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MAIN ST",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "476351420",
            "telephone_number": "812-649-9181",
            "fax_number": "812-649-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MAIN ST",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "476351420",
            "telephone_number": "812-649-9181",
            "fax_number": "812-649-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAULKENBERG HARTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "FAULKENBERG",
        "authorized_official_first_name": "GARLAND",
        "authorized_official_title_or_position": "PHCY MANAGER",
        "authorized_official_telephone_number": "812-649-9181",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006020A",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598845547",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1561213",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROCKPORT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockport, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.