CHRONISTER KENDALLVILLE DRUG (NPI# 1124192521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124192521 |
| Entity Type | Organization |
| Organization Name | CHRONISTER KENDALLVILLE DRUG |
| Other Organization Name | CHRONISTER PHARMACY |
| Practice Address |
318 W North St Kendallville IN 46755-1004 |
| Practice Telephone | 2603470660 |
| Practice Fax Number | 2603473638 |
| Mailing Telephone | 2603470660 |
| Mailing Fax Number | 2603473638 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RICK C. PARRISH (MANAGER) |
| Authorized Official Telephone | 2603470660 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 60003950A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | NCPCP | 1508350 | 01 |
| Other Name | Type Code |
|---|---|
| Chronister Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | CHRONISTER KENDALLVILLE DRUG, INC. | 318 W. North St., Kendallville, IN 46755 |
| Street Address |
318 W NORTH ST |
| City | KENDALLVILLE |
| State | IN |
| Zip Code | 46755-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023177185 | Thomas Chronister | Pharmacist | 318 W North St, Kendallville, IN 46755-1004 | 2006-12-06 |
| 1528127677 | William Fenstermaker | Pharmacist | 318 W North St, Kendallville, IN 46755-1004 | 2006-12-06 |
| 1972662021 | Rick C Parrish | Pharmacist | 318 W North St, Kendallville, IN 46755-1004 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700292422 | Dawn Levin | Physical Therapist | 1292 Drake Rd, Parkview Noble Therapy, Kendallville, IN 46755 | 2014-07-02 |
| 1679989495 | Elaine Patterson | Physical Therapist | 1292 Drake Rd., Parkview Noble Therapy, Kendallville, IN 46755 | 2014-07-02 |
| 1841606563 | Justin Todd Chaple | Physical Therapist | 1292 Drake Road, Parkview Noble Therapy, Kendallville, IN 46755 | 2014-07-02 |
| 1073802997 | Bryan William Smith | Counselor | 1930 Dowling St., Kendallville, IN 46755 | 2011-03-31 |
| 1417101247 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 124 E North St, Kendallville, IN 46755 | 2008-11-06 |
| 1770778367 | Assisted Living Concepts Inc | Assisted Living Facility | 2870 South Lima Road, Kendalville, IN 46755 | 2007-09-07 |
| 1629143805 | Kendallville Chiropractic Center Inc | Chiropractor | 1229 N Lima Rd, Kendallville, IN 46755 | 2006-11-22 |
| 1841307139 | Theodore L Deal Jr. | Dentist | 225 Fairview Blvd, Kendallville, IN 46755 | 2006-08-24 |
| 1467469858 | David Lee Holliday | Chiropractor | 930 West North St., Kendallville, IN 46755 | 2006-08-01 |
| 1699708370 | Vincent J Coda | Podiatrist | 410 E Mitchell St, Kendallville, IN 46755 | 2006-07-08 |
| Find all providers in zip 46755 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538613146 | Genoa Healthcare, LLC | Pharmacy | 1930 Dowling St Ste P, Kendallville, IN 46755-9436 | 2016-08-11 |
| 1699057596 | Walgreens | Pharmacy | 124 E North St, Kendallville, IN 46755-1124 | 2011-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161909 | Damien Cares Inc. | Pharmacy | 26 N Arsenal Ave Ste B, Indianapolis, IN 46201-3808 | 2020-07-21 |
| 1518507755 | Genoa Healthcare, LLC | Pharmacy | 2007 State St Ste 110, Washington, IN 47501-8505 | 2020-01-15 |
| 1053951210 | Pharmacy Corporation of America | Pharmacy | 6032 Highview Dr Ste C, Fort Wayne, IN 46818-1390 | 2020-01-15 |
| 1629635479 | Medscript Compounding LLC | Pharmacy | 14450 Getz Rd Ste 200, Noblesville, IN 46060-3303 | 2019-05-28 |
| 1346807138 | Genoa Healthcare, LLC | Pharmacy | 3176 Lancer St Ste 102, Portage, IN 46368-4408 | 2019-05-28 |
| 1710444740 | Highcare Pharmacy Inc | Pharmacy | 9030 Cline Ave Ste B, Highland, IN 46322-2204 | 2019-02-26 |
| 1346711611 | Rx for Less Pharmacy | Pharmacy | 10930 Pendleton Pike Ste 102, Indianapolis, IN 46236-3177 | 2018-12-16 |
| 1982197463 | 360 Pharmacy Care LLC | Pharmacy | 2441 Production Dr Ste 101, Indianapolis, IN 46241-4929 | 2018-06-11 |
| 1649784174 | Kroger Limited Partnership I | Pharmacy | 5 Boone Vlg, Zionsville, IN 46077-1231 | 2017-11-20 |
| 1770095333 | Pharmscript of In LLC | Pharmacy | 6825 Hillsdale Ct, Building No 3, Indianapolis, IN 46250-2039 | 2017-11-03 |
| Find all providers with the same taxonomy | ||||
| City | KENDALLVILLE |
| Zip Code | 46755 |
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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.