HERBST APOTHECARY INC (NPI# 1982647285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982647285 |
| Entity Type | Organization |
| Organization Name | HERBST APOTHECARY INC |
| Other Organization Name | HERBST COMPOUNDING PHARMACY |
| Practice Address |
207 N Dixon Rd Kokomo IN 46901-4131 |
| Practice Telephone | 7654529000 |
| Practice Fax Number | 7654529633 |
| Mailing Telephone | 7654529000 |
| Mailing Fax Number | 7654529633 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2012-06-11 |
| Authorized Official Name | KARL CLEARWATERS (PRESIDENT) |
| Authorized Official Telephone | 7654529000 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
60005905A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1560386 | 01 |
| Other Name | Type Code |
|---|---|
| HERBST COMPOUNDING PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750373064 | Herbst Apothecary Inc | Pharmacy | 201 N Dixon Rd, Kokomo, IN 46901-4131 | 2005-08-22 |
| 1295727501 | Herbst Apothecary Inc | Pharmacy | 2330 S Dixon Rd, Kokomo, IN 46902-6411 | 2005-08-22 |
| 1740272053 | Herbst Apothecary Inc | Pharmacy | 710 W Main St, Greentown, IN 46936-1045 | 2005-08-22 |
| Street Address |
207 N DIXON RD |
| City | KOKOMO |
| State | IN |
| Zip Code | 46901-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295819563 | Herbst Apothecary, Inc. | Pharmacy | 207 N Dixon Rd, Kokomo, IN 46901-4131 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607597 | Momentum Kokomo, LLC | Substance Abuse Rehabilitation Facility | 1236 N. Wabash Ave, Kokomo, IN 46901 | 2020-10-23 |
| 1457826869 | Jodi Gayle Lake | Developmental Therapist | 2523 Lorentson Ct, Kokomo, IN 46901 | 2018-10-11 |
| 1871088369 | Hope Behavioral Servies, LLC | Behavioral Analyst | 924 Clark St, Kokomo, IN 46901 | 2018-06-27 |
| 1255782306 | Forefront Dermatology, S.c. | Dermatology | 2130 W Sycamore St Ste 200, Kokomo, IN 46901 | 2016-06-29 |
| 1164860706 | Renee Michelle Brown | Registered Nurse | 2776 Amberwood Place, Kokomo, IN 46901 | 2013-06-05 |
| 1063642916 | Michelle K Rush | Speech-Language Pathologist | 2532 Lauren Ln, Kokomo, IN 46901 | 2009-07-24 |
| 1396957189 | Lifetime Dental Care of In, PC | Dentist | 927 S Washington St, Kokomo, IN 46901 | 2007-05-04 |
| 1245458355 | Wagoner Medical Center, LLC | Internal Medicine | 2016 W Sycamore, Kokomo, IN 46901 | 2007-04-23 |
| 1053442723 | Jesusa Salhieh | Contractor | Genesis Rehab Bloom, Kokomo, IN 46901 | 2007-03-07 |
| 1740382928 | Donald A Fantuzzo Dds PC | Dentist | 2196 W Sycamore St, Kokomo, IN 46901 | 2006-09-01 |
| Find all providers in zip 46901 | ||||
| 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 |
|---|---|---|---|---|
| 1295819563 | Herbst Apothecary, Inc. | Pharmacy | 207 N Dixon Rd, Kokomo, IN 46901-4131 | 2006-10-24 |
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| 1699802082 | Winona Bldg. Pharmacy, Inc. | Pharmacy | 3266 N Meridian St Ste 106, Indianapolis, IN 46208-5839 | 2007-02-27 |
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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.