DEKALB MEMORIAL PHARMACARE LLC (NPI# 1720126295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720126295 |
| Entity Type | Organization |
| Organization Name | DEKALB MEMORIAL PHARMACARE LLC |
| Other Organization Name | DEKALB HEALTH PHARMACARE |
| Practice Address |
1314 E 7th St Ste 104 Auburn IN 46706-2533 |
| Practice Telephone | 2609258000 |
| Practice Fax Number | 2609259500 |
| Mailing Telephone | 2609258000 |
| Mailing Fax Number | 2609259500 |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2016-08-15 |
| Authorized Official Name | CRAIG POLKOW (CEO) |
| Authorized Official Telephone | 2609254600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
60006238A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2129458 | 01 | |
| IN | 10029410A | 05 |
| Other Name | Type Code |
|---|---|
| DeKalb Health PharmaCare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639620669 | Dekalb Memorial Pharmacare LLC | Pharmacy | 1350 S Randolph St, Garrett, IN 46738-1971 | 2016-10-14 |
| Street Address |
1314 E 7TH ST STE 104 |
| City | AUBURN |
| State | IN |
| Zip Code | 46706-2533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932761889 | Douglas R Crane | Pharmacist | 1314 E 7th St Ste 104, Auburn, IN 46706-2533 | 2019-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942843701 | Lara Maria Lahr | Advanced Practice Midwife | Auburn Ob/gyn, 1316 East 7th Street Suite 2, Auburn, IN 46706 | 2019-10-24 |
| 1982180501 | Kersten L. Weigle | Nurse Practitioner | 1310 E 7th St Ste F, Auburn, IN 46706 | 2018-07-17 |
| 1902267057 | Crystal Nicole Kennedy | Nurse Practitioner | 1306 E 7th St#c, Auburn, IN 46706 | 2016-03-17 |
| 1902264203 | Andrew Delagrange | Student in an Organized Health Care Education/Training Program | 1021 Eckhart Avenue, Auburn, IN 46706 | 2016-02-02 |
| 1164839007 | Morgan Ariel Buchs | Physical Therapist | 353 N. Grandstaff Dr., Auburn, IN 46706 | 2014-07-11 |
| 1407139546 | Stacy Marie Smith | Registered Nurse | 1310 E 7th St., Ste J, Auburn, IN 46706 | 2011-09-26 |
| 1518262807 | Kori B Engdahl | Advanced Practice Midwife | 1310 East 7th Street, Suite M, Auburn, IN 46706 | 2011-01-18 |
| 1588986541 | Jack Phillip Covell | General Practice | 5631 Co Rd 29, Auburn, IN 46706 | 2010-02-18 |
| 1396914271 | Midwest Eye Consultants, P.C. | Optometrist | 750 N. Grandstaff Dr., Auburn, IN 46706 | 2008-02-26 |
| 1700077013 | Tyler Elliott Helm | Physical Therapist | 510 N. Grandstaff Dr., Auburn, IN 46706 | 2007-08-05 |
| Find all providers in zip 46706 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1811454903 | Auburn Pharmacy | Pharmacy | 643 North Dean Road, Auburn, AL 36830 | 2019-02-25 |
| 1144730854 | Auburn Apothecary LLC | Pharmacy | 689 Southbridge St, Auburn, MA 01501-1833 | 2017-10-07 |
| 1477955888 | Heartland Family Pharmacy LLC | Pharmacy | 134 Sugar Maple Dr, Suite A, Auburn, KY 42206 | 2014-09-17 |
| 1760810790 | U Save Pharmacies LLC | Pharmacy | 1902 S College St, Auburn, AL 36832-6615 | 2013-10-30 |
| 1790077477 | Bedard Pharmacy, Inc. | Pharmacy | 359 Minot Ave Ste B, Auburn, ME 04210-4329 | 2011-05-12 |
| 1033425129 | Food Value & Pharmacy Corp | Pharmacy | 957 W Midland Rd, Auburn, MI 48611-9406 | 2010-08-26 |
| 1346564556 | Kenthill Pharmacy Inc | Pharmacy | 4058 Auburn Way N, Auburn, WA 98002-1392 | 2010-03-16 |
| 1245411800 | Ingles Markets Inc | Pharmacy | 1502 Atlanta Hwy Nw, Auburn, GA 30011 | 2007-11-23 |
| 1962608042 | Kroger Limited Partnership I | Pharmacy | 350 N Grandstaff Dr, Auburn, IN 46706-1678 | 2007-06-25 |
| 1518169010 | A&h Stores Inc. | Pharmacy | 730 12th St Se, Auburn, WA 98002-6708 | 2007-06-05 |
| Find all providers in AUBURN | ||||
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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.