Dekalb Memorial Pharmacare LLC

Key facts

NPI

1720126295

Entity type

Organization (NPI type 2)

Primary specialty

Community/Retail Pharmacy 3336C0003X

License

60006238A (IN)

Legal business name

DEKALB MEMORIAL PHARMACARE LLC

Practice address

1314 E 7TH St Ste 104
Auburn, IN 46706-2533

Phone

(260) 925-8000

Fax

(260) 925-9500

NPI assigned

Feb 4, 2007

Organization subpart

No

Authorized official

Name

Mrs. Jessica Lee-Hansen

Title

Cfo

Phone

(312) 388-0125

Corporate family (same tax ID) 1

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

• Dekalb Memorial Pharmacare LLC Community/Retail Pharmacy · Garrett, IN · NPI 1639620669
  NPD tax ID

Member of 1

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

• Parkview Health System, Inc. Internal Medicine Physician · Fort Wayne, IN · NPI 1952411233
  NPD member Member Of

Practitioners 4

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

• Douglas R Crane, RPH Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Auburn, IN · NPI 1932761889
  NPD
• Lori A. McComb, PHARMD Pharmacist · Auburn, IN · NPI 1760595250
  NPD
• Diane M Buchanan, RPH Pharmacist · Auburn, IN · NPI 1063523520
  NPD (past)
• Rachel Elaine Stickler, CPHT Pharmacy Technician · Auburn, IN · NPI 1811572977
  NPD (past)

Laboratory certificates & supplier records

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

Medicare medical equipment & supply locations

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IN

Medicare enrollment records

National Provider Directory

Tax ID family

Dekalb Health Pharmacare (2 organizations share this tax ID)

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• DeKalb Health PharmaCare Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 2, 2026.

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1720126295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 E 7TH ST STE 104",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467062533",
            "telephone_number": "260-925-8000",
            "fax_number": "260-925-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 E 7TH ST STE 104",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467062533",
            "telephone_number": "260-925-8000",
            "fax_number": "260-925-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKALB MEMORIAL PHARMACARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-04",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "LEE-HANSEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "312-388-0125",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006238A",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10029410A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129458",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeKalb Health PharmaCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, IN

• Dekalb Memorial Hospital, Inc
• Dekalb Memorial Hospital, Inc
• Dekalb Memorial Hospital, Inc
• Dekalb Memorial Hospital, Inc
• Dekalb Memorial Hospital, Inc
• Andrew Delagrange
• Michael B Delong, MD
• Gaesta E Denis
• Caroline Weissman Derrow, DDS
• Gina Marie Dilger-Dewald, D.D.S.

All providers in Auburn, IN · Community/Retail Pharmacy in Indiana