Organization Active NPI

Natalies Apothecary Inc

  • Community/Retail Pharmacy
  • Lafayette, IN
National Provider Identifier
1710490206
Registry record updated May 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
60006664A Issued in IN
Legal business name
NATALIES APOTHECARY INC
Practice address
987 S Creasy LN
Lafayette, IN 47905-4800
Phone
(765) 237-3060
Fax
(765) 250-8586
NPI assigned
Nov 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2018

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

Authorized official

Name
Natalie SchwartzelNPI 1205349784
Title
President
Phone
(765) 237-3060

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 60006664A IN Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

987 S Creasy LN
Lafayette, IN 47905-4800

Mailing address

987 S Creasy LN
Lafayette, IN 47905-4800
Phone (765) 237-3060

Other identifiers 2

IdentifierTypeStateIssuer
300013403MedicaidIN
2175222OtherPK

Other names 1

  • Medicap Pharmacy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180328001691 IN DME Supplier - Pharmacy 8325300510 Practice locations: Lafayette, IN
O20181031000821 IN Part B Supplier - Mass Immunization (Roster Biller Only) 8325300510 Practice locations: Lafayette, IN

National Provider Directory

National Provider Directory
Tax ID family
Natalies Apothecary Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

987 S Creasy Ln
Lafayette, IN 47905
Phone (765) 237-3060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526083200000",
    "number": "1710490206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 S CREASY LN",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054800",
            "telephone_number": "765-237-3060",
            "fax_number": "765-250-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 S CREASY LN",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054800",
            "telephone_number": "765-237-3060",
            "fax_number": "765-250-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALIES APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2018-05-12",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZEL",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-237-3060"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006664A",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300013403",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175222",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.