DEACONESS HOSPITAL INC (NPI# 1780129957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780129957 |
| Entity Type | Organization |
| Organization Name | DEACONESS HOSPITAL INC |
| Other Organization Name | DEACONESS FAMILY PHARMACY DC-DT |
| Practice Address |
421 Chestnut St Evansville IN 47713-1227 |
| Practice Telephone | 8124503784 |
| Practice Fax Number | 8124506340 |
| Mailing Telephone | 8124503784 |
| Mailing Fax Number | 8124506340 |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2017-06-19 |
| Authorized Official Name | THOMAS FITE (PHARMACY MANAGER) |
| Authorized Official Telephone | 8124503780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
60001691A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300000549 | 05 | |
| PK | 2167361 | 01 |
| Other Name | Type Code |
|---|---|
| Deaconess Family Pharmacy DC-DT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690654 | Deaconess Hospital Inc | Durable Medical Equipment & Medical Supplies | 516 S. 9th St, Vincencces, IN 47591 | 2018-12-10 |
| 1962665588 | Deaconess Hospital Inc | Nurse Practitioner | 4107 Gateway Blvd, Newburgh, IN 47630-8954 | 2008-07-03 |
| 1841822327 | Deaconess Hospital Inc | Physician Assistant | 2609 New Hartford Rd, Owensboro, KY 42303-1316 | 2020-02-12 |
| 1740550334 | Deaconess Hospital Inc | Pharmacy | 600 Mary St, Evansville, IN 47710-1658 | 2012-01-12 |
| 1821374836 | Deaconess Hospital Inc | Pharmacy | 600 Mary St, Evansville, IN 47710-1658 | 2011-10-24 |
| 1679890040 | Deaconess Hospital Inc | Psychologist | 310 W Iowa St, Evansville, IN 47710-1724 | 2010-04-26 |
| 1932368446 | Deaconess Hospital Inc | Durable Medical Equipment & Medical Supplies | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2008-06-09 |
| 1366481277 | Deaconess Hospital Inc | Home Health | 701 Garfield Ave, Evansville, IN 47710-1771 | 2006-06-06 |
| 1184671232 | Deaconess Hospital Inc | Physician Assistant | 4015 Gateway Blvd, Ste 2121, Newburgh, IN 47630-8925 | 2006-05-27 |
| Street Address |
421 CHESTNUT ST |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47713-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425591 | Mary M Tadros | Internal Medicine | 421 Chestnut St, Evansville, IN 47713-1227 | 2005-05-31 |
| 1346850294 | Loren Garza | Nurse Practitioner | 421 Chestnut St, Evansville, IN 47713-1227 | 2020-08-05 |
| 1770193864 | Sally Russell | Nurse Practitioner | 421 Chestnut St, Evansville, IN 47713-1227 | 2020-08-04 |
| 1275189037 | Alicia Nelson | Nurse Practitioner | 421 Chestnut St, Evansville, IN 47713-1227 | 2019-08-16 |
| 1700442738 | Sarah L Wagner | Physician Assistant | 421 Chestnut St, Evansville, IN 47713-1227 | 2019-05-15 |
| 1902382757 | Mary Ellen Guthrie | Nurse Practitioner | 421 Chestnut St, Evansville, IN 47713-1227 | 2018-07-16 |
| 1790273241 | Courtney J'neil May | Nurse Practitioner | 421 Chestnut St, Evansville, IN 47713-1227 | 2018-04-30 |
| 1164922118 | Kitty Williams | Health Educator | 421 Chestnut St, Evansville, IN 47713-1227 | 2018-02-16 |
| 1245730654 | Deaconess Hospital, Inc | Health Educator | 421 Chestnut St, Evansville, IN 47713-1227 | 2018-02-13 |
| 1679072011 | Jane L Hackert | Health Educator | 421 Chestnut St, Evansville, IN 47713-1227 | 2018-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942627526 | Scacure Neworks, Inc | Voluntary or Charitable | 815 John Street, Suite 110, Evansville, IN 47713 | 2014-03-21 |
| 1356434948 | James Mcfarland Galbraith | Social Worker | 500 E. Walnut St, Evansville, IN 47713 | 2006-10-02 |
| 1578657912 | Norma J. Nickens | Social Worker | 500 E. Walnut St., Evansville, IN 47713 | 2006-10-02 |
| 1053402826 | Douglas Floyd Fackler | Physician Assistant | Evansville Va Outpatient Clinic, 500 E. Walnut, Evansville, IN 47713 | 2006-09-27 |
| 1205930583 | Elmer B Wannemuehler | Social Worker | 414 Se Fourth Street, Evansville, IN 47713 | 2006-09-08 |
| 1548287287 | Barbara Witte | Counselor | 709 S E 2nd St, Evansville, IN 47713 | 2006-07-17 |
| 1265431209 | Mary Beth Lodato | Advanced Practice Midwife | 316 Chandler Ave, Evansville, IN 47713 | 2005-07-20 |
| 1750380739 | Select Specialty Hospital - Evansville LLC | Long Term Care Hospital | 400 Se 4th Street, Evansville, IN 47713 | 2005-07-20 |
| 1265439012 | Elizabeth Ann Kalb | Psychologist | 315 Mulberry St, Evansville, IN 47713 | 2005-07-07 |
| 1306373782 | Stacey Bane | Pharmacist | 415 Mulberry Street, Evansville, IN 47713 | 2017-05-17 |
| Find all providers in zip 47713 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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 |
|---|---|---|---|---|
| 1821374836 | Deaconess Hospital Inc | Pharmacy | 600 Mary St, Evansville, IN 47710-1658 | 2011-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932419314 | Cancer Care Partners LLC | Pharmacy | 301 E Day Rd Ste 300, Mishawaka, IN 46545-3455 | 2010-10-19 |
| 1093968448 | Skilled Care of Indiana LLC | Pharmacy | 9900 Westpoint Dr, Ste 100, Indianapolis, IN 46256-3358 | 2008-10-29 |
| 1043498850 | Indiana University Health Bloomington Inc | Pharmacy | 1355 W Bloomfield Rd, Bloomington, IN 47403-2051 | 2008-02-04 |
| 1942428420 | Parkview Hospital, Inc. | Pharmacy | 11104 Parkview Circle Drive, Fort Wayne, IN 46845-1704 | 2007-04-23 |
| 1205844495 | Whitley Memorial Hospital, Inc. | Pharmacy | 1260 E State Road 205, Columbia City, IN 46725 | 2006-08-03 |
| 1225080963 | Little Company of Mary Hospital of Indiana, Inc | Pharmacy | 800 W. 9th St, Jasper, IN 47546-2514 | 2006-05-17 |
| 1346248986 | Johnson Memorial Hospital | Pharmacy | 1125 W Jefferson St, Franklin, IN 46131-2140 | 2005-07-08 |
| 1023588811 | Community Hospital of Bremen | Pharmacy | 1020 High Rd, Bremen, IN 46506-1093 | 2018-12-05 |
| 1437645587 | Rehabilitation Hospital of Indiana, Inc. | Pharmacy | 4141 Shore Dr, Indianapolis, IN 46254-2607 | 2018-07-02 |
| 1801204201 | Witham Memorial Hospital | Pharmacy | 2705 N Lebanon St, Lebanon, IN 46052-8621 | 2014-07-29 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47713 |
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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.