Pharma-Card West, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60005939A Issued in IN

Legal business name

PHARMA-CARD WEST, INC

Practice address

174 Bracken Pkwy
Hobart, IN 46342-6789

Phone

(219) 942-1159

Fax

(219) 945-1290

NPI assigned

May 3, 2006

Last updated

Sep 2, 2008By 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

Richard S Brychell, RPH

Title

President

Phone

(219) 464-0404

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PHARMA-CARD HOBART Other name

Tax ID family

Pharma-Card Hammond2 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.

• Pharma-Card West, Inc

  • Community/Retail Pharmacy
  • Hammond, IN
  • NPI 1235197773
  NPD tax ID

Locations

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1720046279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1637",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463841637",
            "telephone_number": "219-464-0404",
            "fax_number": "219-465-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 BRACKEN PKWY",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426789",
            "telephone_number": "219-942-1159",
            "fax_number": "219-945-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMA-CARD WEST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "BRYCHELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-464-0404",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60005939A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200245320",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMA-CARD HOBART",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Aaron L Pauley
• Geoffrey Pawlowski, CP
• Lenore Peek, BSN, RN
• Perry E Zack DO
• Peter J Ferrari
• Donald Michael Phillips, M.D.
• Anthony Victor Piasecki, PA-C
• Pillars of Wellness
• Melissa June Licupa Pineda, PT
• Robert A Predaina, MD

• Community/Retail Pharmacy in Hobart, IN
• Providers in Hobart, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; 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.