Neighborcare of Indiana, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

NEIGHBORCARE OF INDIANA, LLC

Doing business as

Omnicare of South Bend #48249

Practice address

3006 S Michigan St
South Bend, IN 46614-1712

Phone

(574) 291-9965

Fax

(574) 291-9988

NPI assigned

Nov 6, 2006

Last updated

Mar 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Colbert

Title

Sr Director, Payer Relations

Phone

(401) 770-2751

Specialties & licenses 1

Addresses

Other names 1

• Omnicare of South Bend #48249 Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Neighborcare of Indiana, LLC

  dba Omnicare of Ft. Wayne #48246

  • Long Term Care Pharmacy
  • Fort Wayne, IN
  • NPI 1912090440

  O20240719001141

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc

  dba CVS Pharmacy # 05874

  • Pharmacy
  • Boston, MA
  • NPI 1821197120

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1649349895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 S MICHIGAN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466141712",
            "telephone_number": "574-291-9965",
            "fax_number": "574-291-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORCARE OF INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SR DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omnicare of South Bend #48249",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Agnes Ndisya, MSW
• Ella Marie Neading
• Ruth Neal, APRN
• Gretchen Lynn Neff, MS, CGC
• Mark R. Neff, MD
• Neil Gilbert Counseling & Healing LLC
• Staci L Nekic, NP
• Rachel Ann Nelms, BA
• Hattie Walker Nelson, OTR/L
• Kevin R Nelson, PHARMD

• Long Term Care Pharmacy in South Bend, IN
• Providers in South Bend, IN by specialty
• Long Term Care Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.