NPIMap

Organization Active NPI

Parkview Hospital, Inc.

Doing business as Parkview Electric Works Pharmacy

  • Community/Retail Pharmacy
  • Fort Wayne, IN
National Provider Identifier
1851144638
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PARKVIEW HOSPITAL, INC.
Doing business as
Parkview Electric Works Pharmacy
Practice address
1660 Broadway Suite 165
Fort Wayne, IN 46802
Phone
(260) 266-9807
Fax
(260) 266-9811
NPI assigned
Apr 10, 2024
Last updated
Apr 10, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
PARKVIEW HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Christ Jellison, R.PH, MBA
Title
SVP of Pharmacy
Phone
(260) 266-4403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

1660 Broadway Suite 165
Fort Wayne, IN 46802

Mailing address

1660 Broadway Suite 165
Fort Wayne, IN 46802
Phone (260) 266-9807

Other names 1

  • Parkview Electric Works Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
GMM Internal Medicine a15 organizations share this tax ID, including this one
Part of
GMM Internal Medicine a

Other organizations with this tax ID 14

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

View all 14

Locations

1660 Broadway
Ste 165
Fort Wayne, IN 46802
Phone (260) 266-9805

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1851144638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 BROADWAY SUITE 165",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46802",
            "telephone_number": "260-266-9807",
            "fax_number": "260-266-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 BROADWAY SUITE 165",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46802",
            "telephone_number": "260-266-9807",
            "fax_number": "260-266-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEW HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKVIEW HOSPITAL, INC.",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "JELLISON",
        "authorized_official_first_name": "CHRIST",
        "authorized_official_title_or_position": "SVP OF PHARMACY",
        "authorized_official_telephone_number": "260-266-4403",
        "authorized_official_credential": "R.PH, MBA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkview Electric Works Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.