Active NPI
Deaconess Hospital Inc
- Community/Retail Pharmacy
- Evansville, IN
National Provider Identifier
1740550334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- DEACONESS HOSPITAL INC
- Practice address
- 600 Mary St
Evansville, IN 47710-1658 - Phone
- (812) 450-3784
- Fax
- (812) 450-3781
- NPI assigned
- Jan 12, 2012
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Thomas Fite, R.PH.
- Title
- Pharmacy Manager
- Phone
- (812) 450-3780
National Provider Directory
National Provider DirectorySpecialties & licenses 4
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Institutional Pharmacy | 3336I0012X | 60001691A | IN | |
| Specialty Pharmacy | 3336S0011X |
Addresses
NPPES NPI RegistryPrimary practice location
600 Mary St
Evansville, IN 47710-1658
Mailing address
600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-3784
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2133261 | Other | PK | |
| 201054000A | Medicaid | IN |
Other names 1
NPPES NPI Registry- Deaconess Family Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 14, 2016.
{
"created_epoch": "1326326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481673600000",
"number": "1740550334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 MARY ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101658",
"telephone_number": "812-450-3784",
"fax_number": "812-450-3781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MARY ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101658",
"telephone_number": "812-450-3784",
"fax_number": "812-450-3781"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEACONESS HOSPITAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-12",
"last_updated": "2016-12-14",
"status": "A",
"authorized_official_last_name": "FITE",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "812-450-3780",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": "IN",
"license": "60001691A",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2133261",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201054000A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Deaconess Family Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.