Neighborcare of Indiana, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

NEIGHBORCARE OF INDIANA, LLC

Doing business as

Omnicare of Ft. Wayne #48246

Practice address

3402 Congressional Pkwy
Ft. Wayne, IN 46808

Phone

(260) 484-7366

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Susan Colbert

Title

Sr Director, Payer Relations

Phone

(401) 770-2751

Specialties & licenses 1

Addresses

Other names 1

• Omnicare of Ft. Wayne #48246 Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Neighborcare of Indiana, LLC

  • Long Term Care Pharmacy
  • South Bend, IN
  • NPI 1649349895

  O20240719001141

  Same enrollment

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

Member of 2

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

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member
• Neighborcare Pharmacy Services, LLC

  • Long Term Care Pharmacy
  • San Antonio, TX
  • NPI 1174559694

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1912090440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 CONGRESSIONAL PKWY",
            "city": "FT. WAYNE",
            "state": "IN",
            "postal_code": "46808",
            "telephone_number": "260-484-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORCARE OF INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SR DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omnicare of Ft. Wayne #48246",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara Nehls
• Kajal Nehra
• Samuel Garritt Neibaur, DO
• Yekaterina Neichtadt Hoon, DO
• Annalee Neiger, DC
• Neighborhood Health Clinics, Inc
• Neighborhood Health Clinics, Inc
• Neighborhood Health Clinics, Inc
• Neighborhood Health Clinics, Inc
• Neighborhood Health Clinics, Inc

• Long Term Care Pharmacy in Ft. Wayne, IN
• Providers in Ft. Wayne, IN by specialty
• Long Term Care Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.