Active NPI
Werner Drug Co. Inc.
- Community/Retail Pharmacy
- Tell City, IN
National Provider Identifier
1780632059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 100150400A
- Legal business name
- WERNER DRUG CO. INC.
- Practice address
- 1134 Washington St
Tell City, IN 47586-1827 - Phone
- (812) 547-5586
- Fax
- (812) 547-4368
- NPI assigned
- May 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brad N Harth, R.PH.
- Title
- President
- Phone
- (812) 547-5586
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 100150400A | IN | |
| Community/Retail Pharmacy | 3336C0003X | 100150400A | IN | Primary |
Addresses
Primary practice location
1134 Washington St
Tell City, IN 47586-1827
Mailing address
1134 Washington St
Tell City, IN 47586-1827
Phone (812) 547-5586
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1500532 | Other | IN | NCPDP |
| 90002353 | Medicaid | KY | |
| 100150400A | Medicaid | IN | |
| 54000971 | Medicaid | KY |
Other names 1
- Werner Drug Store
National Provider Directory
National Provider DirectoryLocations
1134 Washington St
Tell City, IN 47586
Phone (812) 547-5586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262822400000",
"number": "1780632059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1134 WASHINGTON ST",
"city": "TELL CITY",
"state": "IN",
"postal_code": "475861827",
"telephone_number": "812-547-5586",
"fax_number": "812-547-4368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1134 WASHINGTON ST",
"city": "TELL CITY",
"state": "IN",
"postal_code": "475861827",
"telephone_number": "812-547-5586",
"fax_number": "812-547-4368"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WERNER DRUG CO. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-05",
"last_updated": "2010-01-07",
"status": "A",
"authorized_official_last_name": "HARTH",
"authorized_official_first_name": "BRAD",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "812-547-5586",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "IN",
"license": "100150400A",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IN",
"license": "100150400A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "1500532",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90002353",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100150400A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54000971",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Werner Drug Store",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tell City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.