Active NPI
Indiana Pharmacy Alliance
- Community/Retail Pharmacy
- Demotte, IN
National Provider Identifier
1861960353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- INDIANA PHARMACY ALLIANCE
- Practice address
- 325A N Halleck St
Demotte, IN 46310-8670 - Phone
- (574) 286-2259
- NPI assigned
- Nov 2, 2018
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Michael Swart, RPH
- Title
- President/Owner
- Phone
- (219) 296-9510
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Demotte, IN
- NPI 1528611332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200413002603 | IN | Part B Supplier - Pharmacy | 5193155208 | Practice locations: Demotte, IN |
National Provider Directory
National Provider DirectoryLocations
325 N Halleck St
#A
Demotte, IN 46310
Phone (219) 987-2971
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
325A N Halleck St
Demotte, IN 46310-8670
Mailing address
PO Box 637
Demotte, IN 46310-0637
Phone (219) 987-3330
Other names 1
NPPES NPI Registry- Valley Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2020.
{
"created_epoch": "1541116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585872000000",
"number": "1861960353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 637",
"city": "DEMOTTE",
"state": "IN",
"postal_code": "463100637",
"telephone_number": "219-987-3330",
"fax_number": "219-987-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325A N HALLECK ST",
"city": "DEMOTTE",
"state": "IN",
"postal_code": "463108670",
"telephone_number": "574-286-2259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDIANA PHARMACY ALLIANCE",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-02",
"last_updated": "2020-04-03",
"certification_date": "2020-04-03",
"status": "A",
"authorized_official_last_name": "SWART",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "219-296-9510",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Valley Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Valley Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Demotte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.