HAYWOOD RX, LLC DBA OPTIMUM WELLNESS PHARMACY (NPI# 1912373358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912373358 |
| Entity Type | Organization |
| Organization Name | HAYWOOD RX, LLC DBA OPTIMUM WELLNESS PHARMACY |
| Practice Address |
8900 Ruffian Ln Newburgh IN 47630-3424 |
| Practice Telephone | 8124571204 |
| Mailing Telephone | 8124571204 |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |
| Authorized Official Name | MR. MARK ALLEN HAYWOOD (OWNER/MANAGER) |
| Authorized Official Telephone | 8124571204 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
26020577 | IN | Suppliers |
| Street Address |
8900 RUFFIAN LN |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932375268 | Myracle Orthodontics LLC | Dentist | 8900 Ruffian Ln, Newburgh, IN 47630-3424 | 2008-05-06 |
| 1811360100 | Haywood Rx LLC | Pharmacy | 8900 Ruffian Ln, Newburgh, IN 47630-3424 | 2015-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
| 1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
| 1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
| 1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
| 1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
| 1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
| 1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
| 1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
| Find all providers in zip 47630 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
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| 1023678489 | Pure Pharmacy LLC | Pharmacy | 12425 Old Meridian St Ste B3, Carmel, IN 46032-8725 | 2019-06-18 |
| 1912461468 | Pain Management Centers of America | Pharmacy | 1101 Professional Blvd Ste 212, Evansville, IN 47714-8016 | 2019-01-29 |
| 1538678545 | Quality Care Pharmacy, LLC | Pharmacy | 4708 W Western Ave, South Bend, IN 46619-2306 | 2017-09-21 |
| 1891199295 | Anderson Healthcare Inc | Pharmacy | 350 S Van Buren St Ste F, Shipshewana, IN 46565-9197 | 2014-10-14 |
| 1528479946 | Ma Umiya LLC | Pharmacy | 112 N Randolph St, Garrett, IN 46738-1138 | 2014-05-20 |
| 1831529288 | Proscript LLC | Pharmacy | 9292 N Meridian St Ste 103, Indianapolis, IN 46260-1828 | 2013-11-22 |
| 1265795082 | Jay Shree Ganesh Inc | Pharmacy | 10124 Auburn Park Dr, Fort Wayne, IN 46825-2392 | 2012-06-18 |
| 1134493810 | North Anthony Pharmacy & Wellness Center Inc | Pharmacy | 3537 N Anthony Blvd Ste A, Fort Wayne, IN 46805-1423 | 2012-02-28 |
| 1699802082 | Winona Bldg. Pharmacy, Inc. | Pharmacy | 3266 N Meridian St Ste 106, Indianapolis, IN 46208-5839 | 2007-02-27 |
| 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.