PAIN MANAGEMENT CENTERS OF AMERICA (NPI# 1912461468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912461468 |
| Entity Type | Organization |
| Organization Name | PAIN MANAGEMENT CENTERS OF AMERICA |
| Practice Address |
1101 Professional Blvd Ste 212 Evansville IN 47714-8016 |
| Practice Telephone | 8126181065 |
| Practice Fax Number | 8123798096 |
| Mailing Telephone | 8126181065 |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |
| Authorized Official Name | MAHENDRA R. SANAPATI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8124777246 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | PAIN MANAGEMENT CENTERS OF AMERICA, PSC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | IN CSR | 60006697B | 01 |
| Other Name | Type Code |
|---|---|
| JSD Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891267688 | Pain Management Centers of America | Psychiatry & Neurology | 108 Airway Dr, Marion, IL 62959-5841 | 2018-12-18 |
| 1336616846 | Pain Management Centers of America | Psychiatry & Neurology | 1813 Willow St, Vincennes, IN 47591-4276 | 2018-11-01 |
| Street Address |
1101 PROFESSIONAL BLVD STE 212 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47714-8016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922343490 | Mary Elizabeth Esche | Physical Therapist | 3701 Bellemead Ave, Evansville, IN 47714 | 2012-12-10 |
| 1346524006 | Cheryl Ann Blanford | Pharmacist | 2015 E Covert Ave, Evansville, IN 47714 | 2011-09-29 |
| 1235446014 | Angela Kay Bradford-heidorn | Counselor | 4601 Bayard Park Drive, Evansville, IN 47714 | 2010-09-01 |
| 1104131655 | Cynthia D Lewis | Nurse Practitioner | 3700 Washington Ave Ste 202, Evansville, IN 47714 | 2010-08-09 |
| 1033357363 | Sarah M Voelkel | Podiatrist | 3801 Bellemeade Ave Ste 110a, Evansville, IN 47714 | 2009-01-23 |
| 1346443892 | Shilpa D Gaitonde | Internal Medicine | 3801 Bellemeade Ave Ste 300, Evansville, IN 47714 | 2007-06-11 |
| 1437361516 | Oncology Hematology Associates of Southwest Indiana | Internal Medicine | 3801 Bellemeade Suite 110, Evansville, IN 47714 | 2007-05-03 |
| 1629105374 | Comprehensive Neurosurgical Specialists, LLC | Neurological Surgery | 801 St Mary's Drive, Suite 505 East, Evansville, IN 47714 | 2007-02-28 |
| 1447387949 | Emily Mills | Physical Therapy Assistant | 1800 Elmendorf Avenue, Evanville, IN 47714 | 2007-02-28 |
| 1023153194 | Glen Gilbert Millikan II | Pharmacist | 1550 S. Vann Ave, Evansville, IN 47714 | 2007-02-20 |
| Find all providers in zip 47714 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851934616 | Right Med Pharmacy, LLC | Pharmacy | 303 S Main St Ste 100, Mishawaka, IN 46544-2159 | 2019-10-24 |
| 1023678489 | Pure Pharmacy LLC | Pharmacy | 12425 Old Meridian St Ste B3, Carmel, IN 46032-8725 | 2019-06-18 |
| 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 |
| 1720126295 | Dekalb Memorial Pharmacare LLC | Pharmacy | 1314 E 7th St Ste 104, Auburn, IN 46706-2533 | 2007-02-04 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47714 |
Please comment or provide details below to improve the information on PAIN MANAGEMENT CENTERS OF AMERICA.
| 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.