PARKSIDE PHARMACY INC (NPI# 1063465904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063465904 |
Entity Type | Organization |
Organization Name | PARKSIDE PHARMACY INC |
Practice Address |
2200 Ferry St Lafayette IN 47904-3016 |
Practice Telephone | 7654471000 |
Practice Fax Number | 7654474714 |
Mailing Telephone | 7654471000 |
Mailing Fax Number | 7654474714 |
Enumeration Date | 2006-05-19 |
Last Update Date | 2016-08-15 |
Authorized Official Name | MR. RANDALL L GERHART (OWNER PHARMACIST) |
Authorized Official Telephone | 7654471000 |
Authorized Official Credential | BS PHARMACY |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | 60002772A | IN | Suppliers |
Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
60002772A | IN | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100301510A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730264946 | Parkside Pharmacy Inc | Pharmacy | 975 Broadway St, Buffalo, NY 14212-1317 | 2006-10-26 |
Street Address |
2200 FERRY ST |
City | LAFAYETTE |
State | IN |
Zip Code | 47904-3016 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
Find all providers in zip 47904 |
Taxonomy Code | 3336L0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Long Term Care Pharmacy |
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437700549 | Neighbors Pharmacy | Pharmacy | 6770 Johnston St Ste A, Lafayette, LA 70503-6202 | 2019-09-20 |
1962589549 | Health Mart of Lafayette LLC | Pharmacy | 600 Johnston St, Lafayette, LA 70501-8060 | 2006-11-01 |
1457859688 | Teche Drugs, Inc. | Pharmacy | 509 Jefferson St, Lafayette, LA 70501-6905 | 2018-01-23 |
1447596879 | Icare Clinical Consulting LLC | Pharmacy | 104 Darwin Cir, Lafayette, LA 70508-7110 | 2012-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003437609 | Damasius Inc | Pharmacy | 6949 Kennedy Ave Ste C, Hammond, IN 46323-2245 | 2020-05-05 |
1568099703 | In Touch of Indy, LLC | Pharmacy | 851 Columbia Rd Ste 190, Plainfield, IN 46168-7587 | 2020-03-26 |
1669030102 | Meds To You LLC | Pharmacy | 8250 Bash St Ste A3, Indianapolis, IN 46250-1938 | 2019-05-30 |
1083188973 | Circle City Pharmacy, LLC | Pharmacy | 65 E Garner Rd Ste 200, Brownsburg, IN 46112-7867 | 2019-01-14 |
1174091557 | Rubicon Dtp, LLC | Pharmacy | 5751 W 73rd St # A, Indianapolis, IN 46278-1741 | 2018-11-05 |
1962870295 | Pca Corrections LLC | Pharmacy | 1740 Williamsburg Dr Ste A, Jeffersonville, IN 47130-8066 | 2015-09-03 |
1407235013 | Cppltc LLC | Pharmacy | 482 W Navajo St Ste B, West Lafayette, IN 47906-1940 | 2015-05-28 |
1871986596 | N&m Investments | Pharmacy | 30 S Water St Ste B, Franklin, IN 46131-2316 | 2015-03-05 |
1588911895 | United Rx, LLC | Pharmacy | 2325 Pointe Pkwy, Carmel, IN 46032-3294 | 2012-08-07 |
1265674097 | Pauls Pharmacy Inc | Pharmacy | 4111 N Saint Joseph Ave, Evansville, IN 47720-1206 | 2009-03-25 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on PARKSIDE PHARMACY INC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.