Active NPI
Nephew Pharmacy PC
Doing business as Nephew Pharmacy
- Community/Retail Pharmacy
- Nappanee, IN
National Provider Identifier
1619355294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 60006498A
- Legal business name
- NEPHEW PHARMACY PC
- Doing business as
- Nephew Pharmacy
- Practice address
- 1953 Waterfall Dr
Nappanee, IN 46550-8961 - Phone
- (574) 773-2404
- Fax
- (574) 773-2401
- NPI assigned
- May 14, 2015
- Last updated
- Feb 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Nephew, RPH
- Title
- President/Owner/Pic/Ao
- Phone
- (574) 286-2259
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 60006498A | IN | Primary |
| 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 names 1
- Nephew Pharmacy
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Goshen, IN
- NPI 1033728175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612742400000",
"number": "1619355294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1953 WATERFALL DR",
"city": "NAPPANEE",
"state": "IN",
"postal_code": "465508961",
"telephone_number": "574-773-2404",
"fax_number": "574-773-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1953 WATERFALL DR",
"city": "NAPPANEE",
"state": "IN",
"postal_code": "465508961",
"telephone_number": "574-773-2404",
"fax_number": "574-773-2401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEPHEW PHARMACY PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-14",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A",
"authorized_official_last_name": "NEPHEW",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "PRESIDENT/OWNER/PIC/AO",
"authorized_official_telephone_number": "574-286-2259",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IN",
"license": "60006498A",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nephew Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nappanee, IN
- Susan Ann Mishler, M.A., CCC/SLP
- N.D. Oglesbee, O.D., Inc.
- Nancy Y Denlinger, Incorporated (Nappanee Spinal Adjusting Center)
- Nappanee Family Chiropractic LLC (Community Chiropractic & Wellness Center)
- Nappanee Family Eyecare, P.C.
- Northwood Family Dentistry, Inc.
- Northwood Physicians, Inc.
- O.T. Works, Inc (thetherapyplayce)
- O.T. Works, Inc.
- Nathanael David Oglesbee, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.