Organization Active NPI

HCMH Diversified Management Corp

Doing business as Forest Ridge Neighborhood Pharmacy

  • Community/Retail Pharmacy
  • New Castle, IN
National Provider Identifier
1710064886
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
60005462A Issued in IN
Legal business name
HCMH DIVERSIFIED MANAGEMENT CORP
Doing business as
Forest Ridge Neighborhood Pharmacy
Practice address
2200 Forest Ridge Pkwy
New Castle, IN 47362-2943
Phone
(765) 599-3540
Fax
(765) 599-3541
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Rachel Burns, RPHNPI 1417817297
Title
Manager
Phone
(765) 529-3313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 60005462A IN Primary

Addresses

Primary practice location

2200 Forest Ridge Pkwy
New Castle, IN 47362-2943

Mailing address

2200 Forest Ridge Pkwy
New Castle, IN 47362-2943
Phone (765) 599-3540

Other identifiers 2

IdentifierTypeStateIssuer
200219000AMedicaidIN
2024244OtherPK

Other names 1

  • FOREST RIDGE NEIGHBORHOOD PHARMACY Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

2200 Forest Ridge Pkwy
New Castle, IN 47362
Phone (765) 521-7385

2200 Forest Ridge Pkwy
Ste 230
New Castle, IN 47362
Phone (765) 599-3540

2200 Forest Ridge Pkwy
#300
New Castle, IN 47362
Phone (765) 599-3572

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1710064886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 FOREST RIDGE PKWY",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473622943",
            "telephone_number": "765-599-3540",
            "fax_number": "765-599-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FOREST RIDGE PKWY",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473622943",
            "telephone_number": "765-599-3540",
            "fax_number": "765-599-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCMH DIVERSIFIED MANAGEMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "765-529-3313",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60005462A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200219000A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2024244",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOREST RIDGE NEIGHBORHOOD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Castle, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.