Organization Active NPI

Werner Drug Co. Inc.

  • Community/Retail Pharmacy
  • Tell City, IN
National Provider Identifier
1780632059
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
100150400A Issued in IN
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

Updated by the provider on Jan 7, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1500532OtherINNCPDP
90002353MedicaidKY
100150400AMedicaidIN
54000971MedicaidKY

Other names 1

  • Werner Drug Store Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.