PARKSIDE PHARMACY INC


Address: 2200 Ferry St, Lafayette, IN 47904-3016
Phone: 7654471000

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IN 100301510A 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1730264946 Parkside Pharmacy Inc Pharmacy 975 Broadway St, Buffalo, NY 14212-1317 2006-10-26

Office Location

Street Address 2200 FERRY ST
City LAFAYETTE
State IN
Zip Code 47904-3016

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City LAFAYETTE
Zip Code 47904

Improve Information

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Dataset Information

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.

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