NPIMap

Organization Active NPI

Cancer Care Partners LLC

Doing business as Cancer Care Partners

  • Community/Retail Pharmacy
  • Mishawaka, IN
National Provider Identifier
1972800068
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
60006239A Issued in IN
Legal business name
CANCER CARE PARTNERS LLC
Doing business as
Cancer Care Partners
Practice address
301 E Day Rd
Mishawaka, IN 46545-3455
Phone
(574) 204-7300
Fax
(574) 204-7231
NPI assigned
Feb 25, 2011
Last updated
May 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Monica Rivers
Title
Pharmacy Manager
Phone
(574) 204-7234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 60006239A IN Primary

Addresses

Primary practice location

301 E Day Rd
Mishawaka, IN 46545-3455

Mailing address

301 E Day Rd
Mishawaka, IN 46545-3455
Phone (574) 204-7300

Other identifiers 1

IdentifierTypeStateIssuer
1563217OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Cancer Care Partners Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1972800068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E DAY RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453455",
            "telephone_number": "574-204-7300",
            "fax_number": "574-204-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E DAY RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453455",
            "telephone_number": "574-204-7300",
            "fax_number": "574-204-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CARE PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "574-204-7234"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006239A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1563217",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer Care Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.