Organization Active NPI

Nephew Pharmacy PC

Doing business as Nephew Pharmacy

  • Community/Retail Pharmacy
  • Nappanee, IN
National Provider Identifier
1619355294
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
60006498A Issued in IN
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Gary Nephew, RPHNPI 1033728175
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

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": "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

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.

Verify at the official NPI Registry.