PENDLETON LOWCOST PRESCRIPTION (NPI# 1245342195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245342195 |
| Entity Type | Organization |
| Organization Name | PENDLETON LOWCOST PRESCRIPTION |
| Practice Address |
777 E Water St Pendleton IN 46064-9317 |
| Practice Telephone | 7657781851 |
| Practice Fax Number | 7657787181 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHARLES CLEVENGER (PRESIDENT) |
| Authorized Official Telephone | 7657781851 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| X | 333600000X | Pharmacy | 60004826A | IN | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| X | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1532109 | 01 |
| Street Address |
777 E WATER ST |
| City | PENDLETON |
| State | IN |
| Zip Code | 46064-9317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396890547 | Thomas Edward Wilson | Chiropractor | 777 E Water St, 1 Plaza Dr. Suite 6, Pendleton, IN 46064-9317 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912214727 | Classic Sleepcare, LLC | Durable Medical Equipment & Medical Supplies | 138 West State Street, Suite #4, Pendleton, IN 46064 | 2010-09-01 |
| 1629239355 | Stephanie Jane Russ | Family Medicine | 1251 S Huntzinger Blvd, Suite 100, Pendleton, IN 46064 | 2008-06-25 |
| 1003004219 | Hamilton-madison, Inc. | Durable Medical Equipment & Medical Supplies | 105 1/2 E. State Street, Pendleton, IN 46064 | 2007-10-12 |
| 1518019637 | Pendleton Emergency Ambulance Inc | Ambulance | 100 S Broadway, Pendleton, IN 46064 | 2007-01-17 |
| 1487755716 | Anna Marie Tallant | Counselor | 131 N Pendleton Ave, Suite A, Pendleton, IN 46064 | 2006-09-26 |
| 1336242700 | Jennifer A Neise | Dentist | 3132 W. State Road 38, Pendleton, IN 46064 | 2006-09-07 |
| 1366900599 | Megan Daberko | Registered Nurse | 1251 Huntzinger Blvd Ste 100, Pendleton, IN 46064 | 2019-03-06 |
| 1821594672 | Jean Castro | Registered Nurse | 1251 Huntzinger Blvd Ste 100, Pendleton, IN 46064 | 2018-04-02 |
| 1013002310 | Kenneth U Lau | Dentist | 210 East Water Street, Pendleton, IN 46064 | 2006-10-03 |
| 1912955832 | Indiana Tmj Treatment Center | Dentist | 210 East Water Street, Pendleton, IN 46064-0206 | 2006-05-04 |
| Find all providers in zip 46064 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423676 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 Se Court Pl Ste P, Pendleton, OR 97801-3281 | 2020-06-29 |
| 1811300874 | Clearview Mediation and Disability Resource Center | Durable Medical Equipment & Medical Supplies | 307 Sw 6th St, Pendleton, OR 97801-2061 | 2014-06-07 |
| 1528401726 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 144 Sw 20th St, Pendleton, OR 97801-1804 | 2013-04-08 |
| 1912214727 | Classic Sleepcare, LLC | Durable Medical Equipment & Medical Supplies | 138 West State Street, Suite #4, Pendleton, IN 46064 | 2010-09-01 |
| 1245394907 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 502 N.e. Hwy 11, Pendleton, OR 97801 | 2006-12-20 |
| 1548363245 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 620 E State St, Pendleton, IN 46064-9381 | 2006-09-07 |
| 1760591051 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1900 Southwest Court Place, Melanie Square, Pendleton, OR 97801-1891 | 2006-08-30 |
| 1235156381 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2203 Sw Court Pl, Pendleton, OR 97801-1896 | 2006-07-16 |
| 1720011083 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 901 Sw Emigrant Ave, Pendleton, OR 97801-1948 | 2006-07-09 |
| 1235175001 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 201 Sw 20th St, Pendleton, OR 97801-1864 | 2006-06-21 |
| Find all providers in PENDLETON | ||||
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| 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.