Organization Active NPI

Pauls Pharmacy

  • Community/Retail Pharmacy
  • Evansville, IN
National Provider Identifier
1639578024
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PAULS PHARMACY
Practice address
1225 Washington SQ
Evansville, IN 47715-6807
Phone
(812) 962-3500
Fax
(812) 962-3510
NPI assigned
Aug 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Dr. Scott David Hodges, PHARMD.
Title
Pharmacist in Charge
Phone
(812) 962-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1225 Washington SQ
Evansville, IN 47715-6807

Mailing address

1225 Washington SQ
Evansville, IN 47715-6807
Phone (812) 962-3500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1639578024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 WASHINGTON SQ",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477156807",
            "telephone_number": "812-962-3500",
            "fax_number": "812-962-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 WASHINGTON SQ",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477156807",
            "telephone_number": "812-962-3500",
            "fax_number": "812-962-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "812-962-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.