Organization Active NPI

Munster Medical Center Infusion Products, Inc.

  • Home Infusion Therapy Pharmacy
  • Munster, IN
National Provider Identifier
1750424602
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
60005454A Issued in IN
Legal business name
MUNSTER MEDICAL CENTER INFUSION PRODUCTS, INC.
Practice address
757 - 45TH Street
Suite 102
Munster, IN 46321-2912
Phone
(219) 836-1899
Fax
(219) 836-2464
NPI assigned
Feb 14, 2007
Last updated
Feb 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

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

Authorized official

Name
Dr. Alexander A Stemer, M.D.NPI 1861451429
Title
President
Phone
(219) 836-1899

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
Durable Medical Equipment & Medical Supplies 332B00000X 60005454A IN
Community/Retail Pharmacy 3336C0003X 60005454A IN
Home Infusion Therapy Pharmacy 3336H0001X 60005454A IN Primary

Addresses

Primary practice location

757 - 45TH Street
Suite 102
Munster, IN 46321-2912

Mailing address

757 - 45TH Street
Suite 102
Munster, IN 46321-2912
Phone (219) 836-1899

Other identifiers 2

IdentifierTypeStateIssuer
200254070AMedicaidIN
000000107804OtherINANTHEM PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

757 45th St
#102
Munster, IN 46321
Phone (219) 836-1899

757 45th St
Ste 102
Munster, IN 46321
Phone (219) 836-1899

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1750424602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 - 45TH STREET",
            "address_2": "SUITE 102",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212912",
            "telephone_number": "219-836-1899",
            "fax_number": "219-836-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 - 45TH STREET",
            "address_2": "SUITE 102",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212912",
            "telephone_number": "219-836-1899",
            "fax_number": "219-836-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNSTER MEDICAL CENTER INFUSION PRODUCTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "STEMER",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-836-1899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "60005454A",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60005454A",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "IN",
            "license": "60005454A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200254070A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000107804",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.