NPIMap

Organization Active NPI

Columbus Regional Hospital

Doing business as Columbus Regional Hospital Specialty Pharmacy

  • Community/Retail Pharmacy
  • Columbus, IN
National Provider Identifier
1861286676
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
COLUMBUS REGIONAL HOSPITAL
Doing business as
Columbus Regional Hospital Specialty Pharmacy
Practice address
2400 17TH St
Columbus, IN 47201-5351
Phone
(812) 376-5258
Fax
(812) 376-5933
NPI assigned
Apr 7, 2025
Last updated
Aug 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Staci Glick
Title
E VP and Chief Nursing Officer
Phone
(812) 375-3137

Specialties & licenses 1

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

Addresses

Primary practice location

2400 17TH St
Columbus, IN 47201-5351

Mailing address

2400 17TH St
Columbus, IN 47201-5351
Phone (812) 376-5258

Other names 1

  • Columbus Regional Hospital Specialty Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260106000055 IN DME Supplier - Pharmacy 7214916113 Practice locations: Columbus, IN

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Columbus Regional Hospital2400 E 17TH Street, Columbus, IN 47201-5351(812) 376-5515 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Sep 1, 1992

National Provider Directory

National Provider Directory
Tax ID family
Columbus Regional Hospital Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

100 Goeller Ct
Columbus, IN 47201
Phone (812) 342-0408

1101 Jackson St
Columbus, IN 47201
Phone (812) 375-9078

2102 25th St
Ste G
Columbus, IN 47201
Phone (812) 376-5177

2134 25th St
Ste K
Columbus, IN 47201
Phone (812) 372-3035

2326 18th St
Ste 210
Columbus, IN 47201
Phone (812) 372-8426

2400 Northpark Dr
Ste 20
Columbus, IN 47203
Phone (812) 376-0700

2529 Sandcrest Blvd
Columbus, IN 47203
Phone (812) 372-5858

2530 Sandcrest Blvd
Columbus, IN 47203
Phone (812) 372-3177

2702 Central Ave
Columbus, IN 47201
Phone (812) 376-5700

3015 10th St
Columbus, IN 47201
Phone (812) 376-5373

3015 10th St
Ste B
Columbus, IN 47201
Phone (812) 376-5373

3800 W Carlos Folger Dr
Ste 150
Columbus, IN 47201
Phone (812) 348-2141

3888 Mimosa Dr
Columbus, IN 47201
Phone (812) 342-8888

540 Belmont Dr
Columbus, IN 47201
Phone (812) 372-8447

849 E 450 S
Columbus, IN 47201
Phone (812) 342-0408

935 Repp Dr
Columbus, IN 47201
Phone (812) 375-9032

940 N Marr Rd
Ste A
Columbus, IN 47201
Phone (812) 372-3035

7711 Shelby St
Ste B
Indianapolis, IN 46227
Phone (317) 378-7565

105 Willow St
Nashville, IN 47448
Phone (812) 988-9622

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Columbus Regional HospitalColumbus, IN, CCN 150112 Hospital Operational/Managerial Control (100%) Mar 7, 2013
Majestic Care of BloomingtonBloomington, IN, CCN 155019 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2012
Majestic Care of BedfordBedford, IN, CCN 155100 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2013
The Belmont Health & RehabilitationColumbus, IN, CCN 155133 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2014

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1861286676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 17TH ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015351",
            "telephone_number": "812-376-5258",
            "fax_number": "812-376-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 17TH ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015351",
            "telephone_number": "812-376-5258",
            "fax_number": "812-376-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "E VP AND CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "812-375-3137"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbus Regional Hospital Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.