Nephew Pharmacy PC
Organization Active NPI Community/Retail Pharmacy · Nappanee, IN
NPI 1619355294 · NPPES record last updated Feb 8, 2021
Key facts
- NPI
- 1619355294
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 60006498A (IN)
- Legal business name
- NEPHEW PHARMACY PC
- Practice address
- 1953 Waterfall Dr
Nappanee, IN 46550-8961 - Phone
- (574) 773-2404
- Fax
- (574) 773-2401
- NPI assigned
- May 14, 2015
- Organization subpart
- No
Authorized official
- Name
- Gary Nephew, RPH
- Title
- President/Owner/Pic/Ao
- Phone
- (574) 286-2259
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 60006498A | IN | Yes |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
1953 Waterfall Dr
Nappanee, IN 46550-8961
Mailing address
1953 Waterfall Dr
Nappanee, IN 46550-8961
Phone (574) 773-2404
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2151965 | Other | PK |
Other names
- Nephew Pharmacy
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- Nathanael David Oglesbee
All providers in Nappanee, IN · Community/Retail Pharmacy in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.