NPIMap

Organization Active NPI

Herbst Apothecary Inc

Doing business as Herbst Compounding Pharmacy

  • Compounding Pharmacy
  • Kokomo, IN
National Provider Identifier
1982647285
Registry record updated Mar 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
60005905A Issued in IN
Legal business name
HERBST APOTHECARY INC
Doing business as
Herbst Compounding Pharmacy
Practice address
207 N Dixon Rd
Kokomo, IN 46901-4131
Phone
(765) 452-9000
Fax
(765) 452-9633
NPI assigned
Jun 14, 2006
Last updated
Mar 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2024

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

Authorized official

Name
Heidi Tanner, RPHNPI 1437231016
Title
President
Phone
(765) 452-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X 60005905A IN Primary

Addresses

Primary practice location

207 N Dixon Rd
Kokomo, IN 46901-4131

Mailing address

207 N Dixon Rd
Kokomo, IN 46901-4131
Phone (765) 452-9000

Other identifiers 1

IdentifierTypeStateIssuer
1560386OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • HERBST COMPOUNDING PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Herbst Apothecary 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.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709942400000",
    "number": "1982647285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N DIXON RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014131",
            "telephone_number": "765-452-9000",
            "fax_number": "765-452-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N DIXON RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014131",
            "telephone_number": "765-452-9000",
            "fax_number": "765-452-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBST APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-03-09",
        "certification_date": "2024-03-09",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-452-9000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "IN",
            "license": "60005905A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1560386",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HERBST COMPOUNDING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2024; 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.