Organization Active NPI

Indiana Pharmacy Alliance

  • Community/Retail Pharmacy
  • Demotte, IN
National Provider Identifier
1861960353
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, RPHNPI 1528611332
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.

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20200413002603 IN Part B Supplier - Pharmacy 5193155208 Practice locations: Demotte, IN

National Provider Directory

National Provider Directory

Locations

325 N Halleck St
#A
Demotte, IN 46310
Phone (219) 987-2971

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary 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 Doing business as

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.

Verify at the official NPI Registry.