Organization Active NPI

Pharmaplus LLC

  • Pharmacy
  • Fort Wayne, IN
National Provider Identifier
1609620764
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
PHARMAPLUS LLC
Practice address
9929 West Sr 14
Fort Wayne, IN 46804-5769
Phone
(260) 579-8854
Fax
(260) 264-6747
NPI assigned
Apr 15, 2024
Last updated
Dec 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Dr. Sherwin O Davis, PHARMDNPI 1639475890
Title
Pharmacist
Phone
(260) 579-8854

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
Pharmacy 333600000X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

9929 West Sr 14
Fort Wayne, IN 46804-5769

Mailing address

1931 Azurite PL
Fort Wayne, IN 46804-5265
Phone (260) 579-8854

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250828001258 IN Part B Supplier - Pharmacy 4880195205 Practice locations: Fort Wayne, IN

National Provider Directory

National Provider Directory

Locations

1361 W Hamilton Rd S
Fort Wayne, IN 46814

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1609620764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 AZURITE PL",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468045265",
            "telephone_number": "260-579-8854",
            "fax_number": "260-264-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9929 WEST SR 14",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468045769",
            "telephone_number": "260-579-8854",
            "fax_number": "260-264-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMAPLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHERWIN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "260-579-8854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.