DEVILLE PHARMACIES INC (NPI# 1376043356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376043356 |
| Entity Type | Organization |
| Organization Name | DEVILLE PHARMACIES INC |
| Other Organization Name | DILLSBORO DRUG STORE |
| Practice Address |
12836 North St Dillsboro IN 47018-8492 |
| Mailing Address |
Po Box 205 Dillsboro IN 47018-0205 |
| Practice Telephone | 8124325684 |
| Mailing Telephone | 8124325684 |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |
| Authorized Official Name | CAMILLE DEVILLE BOYKEN (PRESIDENT) |
| Authorized Official Telephone | 8124325684 |
| Is Organization Subpart | Y |
| Parent Organization Name | DEVILLE PHARMACIES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100294780A | 05 |
| Other Name | Type Code |
|---|---|
| Dillsboro Drug Store | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902832637 | Deville Pharmacies Inc | Pharmacy | 12836 North St, Dillsboro, IN 47018-8492 | 2006-06-24 |
| 1437683927 | Deville Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 401 W Eads Pkwy Ste 270, Lawrenceburg, IN 47025-1991 | 2017-04-12 |
| 1922306463 | Deville Pharmacies Inc | Pharmacy | 223 Main St, Rising Sun, IN 47040-1224 | 2011-03-08 |
| Street Address |
12836 NORTH ST |
| City | DILLSBORO |
| State | IN |
| Zip Code | 47018-8492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902832637 | Deville Pharmacies Inc | Pharmacy | 12836 North St, Dillsboro, IN 47018-8492 | 2006-06-24 |
| 1013149434 | Rachel Noel Busch | Pharmacist | 12836 North St, Dillsboro, IN 47018-8492 | 2009-08-18 |
| 1659463610 | Camille Deville Boyken | Pharmacist | 12836 North St, Dillsboro, IN 47018 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699086066 | Suzette Alene Mathes | Occupational Therapy Assistant | 12083 Lenover St, Dillsboro, IN 47018 | 2010-06-30 |
| 1497066872 | Mayank Jain | Physical Therapist | 12803 Lenover Street, The Waters of Dillsboro-ross, Dillsboro, IN 47018 | 2010-06-30 |
| 1891832911 | Anne Catherine Brown | Family Medicine | 12827 Lenover St, Dillsboro, IN 47018 | 2007-01-30 |
| 1912053067 | Randall P Leduc | Internal Medicine | 12930 North Street, Dillsboro, IN 47018 | 2007-01-25 |
| 1710090287 | Dillsboro Emergency Ambulance Unit, Inc. | Ambulance | 13036 North St., Dillsboro, IN 47018 | 2006-08-17 |
| 1720322514 | Brian White | Physical Therapist | 12803 Lenover Street, Dillsboro, IN 47018 | 2012-11-16 |
| 1356654727 | Christopher Alvin Wilhelm | Physical Therapy Assistant | 12803 Lenover Street, The Waters of Dillsboro-ross, Dillsboro, IN 47018 | 2010-07-14 |
| 1265743629 | Abhilekh Thakur | Physical Therapist | 12803 Lenover Street, Dillsboro, IN 47018 | 2010-06-30 |
| 1225241474 | Healthcare Centers of Indiana, LLC | Skilled Nursing Facility | 12803 Lenover St, Dillsboro, IN 47018-0037 | 2007-05-07 |
| 1942429352 | Randall P Leduc, Md, PC | Family Medicine | 12827 Lenover St, Dillsboro, IN 47018-0095 | 2007-04-24 |
| Find all providers in zip 47018 | ||||
| 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] |
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| 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 |
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| 1265674097 | Pauls Pharmacy Inc | Pharmacy | 4111 N Saint Joseph Ave, Evansville, IN 47720-1206 | 2009-03-25 |
| Find all providers with the same taxonomy | ||||
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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.