Organization Active NPI

Bush Drugs Inc

  • Community/Retail Pharmacy
  • Greenfield, IN
National Provider Identifier
1801980214
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BUSH DRUGS INC
Practice address
1588 N State St
Greenfield, IN 46140-1060
Phone
(317) 462-7877
Fax
(317) 467-8732
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
David Edward Bush, PHARMDNPI 1750846150
Title
Owner Pharmacist
Phone
(317) 462-7877

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 60004970 IN
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1588 N State St
Greenfield, IN 46140-1060

Mailing address

1588 N State St
Greenfield, IN 46140-1060

Other identifiers 2

IdentifierTypeStateIssuer
1533012OtherOTHER ID NUMBER-COMMERCIAL NUMBER
200132820AMedicaidIN

Other names 1

  • Medicap Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090306000325 IN Part B Supplier - Mass Immunization (Roster Biller Only) 4082770516 Practice locations: Greenfield, IN
O20100930015649 IN DME Supplier - Pharmacy 4082770516 Practice locations: Greenfield, IN

National Provider Directory

National Provider Directory
Tax ID family
Bush Drugs Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1801980214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1588 N STATE ST",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1588 N STATE ST",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401060",
            "telephone_number": "317-462-7877",
            "fax_number": "317-467-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSH DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "317-462-7877",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IN",
            "license": "60004970",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1533012",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200132820A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.