WITHAM MEMORIAL HOSPITAL (NPI# 1902298557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902298557 |
| Entity Type | Organization |
| Organization Name | WITHAM MEMORIAL HOSPITAL |
| Other Organization Name | PAVILION POINTE PHARMACY |
| Practice Address |
2705 N Lebanon St Ste 100 Lebanon IN 46052-8621 |
| Mailing Address |
2705 N Lebanon St Ste 100 Lebanon IN 46052-8621 |
| Practice Telephone | 7654833900 |
| Practice Fax Number | 7654833909 |
| Mailing Telephone | 7654833900 |
| Mailing Fax Number | 7654833909 |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2017-04-06 |
| Authorized Official Name | ABRAHAM PEED (PHARMACY MANAGER) |
| Authorized Official Telephone | 7654833900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
60006428A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2147853 | 01 | |
| IN | 100269130A | 05 |
| Other Name | Type Code |
|---|---|
| Pavilion Pointe Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194115386 | Witham Memorial Hospital | Skilled Nursing Facility | 12315 N Pennsylvania St, Carmel, IN 46032-6600 | 2015-01-27 |
| 1366843716 | Witham Memorial Hospital | Skilled Nursing Facility | 2402 South St, Lafayette, IN 47904-3063 | 2014-09-04 |
| 1942639695 | Witham Memorial Hospital | Skilled Nursing Facility | 2200 S Dixon Rd, Kokomo, IN 46902-6410 | 2013-11-04 |
| 1972939361 | Witham Memorial Hospital | Skilled Nursing Facility | 8405 Clearvista Pl, Indianapolis, IN 46256-3737 | 2013-09-18 |
| 1396171781 | Witham Memorial Hospital | Skilled Nursing Facility | 1635 N Arlington Ave, Indianapolis, IN 46218-5181 | 2013-09-18 |
| 1124360367 | Witham Memorial Hospital | Skilled Nursing Facility | 1 Silvercrest Dr, New Albany, IN 47150-7800 | 2013-03-26 |
| 1144564626 | Witham Memorial Hospital | Skilled Nursing Facility | 20 John Kissinger Dr, Wabash, IN 46992 | 2012-11-21 |
| 1366748386 | Witham Memorial Hospital | Skilled Nursing Facility | 269 Meadowview Dr, Peru, IN 46970-8996 | 2011-02-09 |
| 1306165915 | Witham Memorial Hospital | Skilled Nursing Facility | 814 S 6th St, Monticello, IN 47960-8199 | 2010-05-21 |
| 1205153269 | Witham Memorial Hospital | Skilled Nursing Facility | 1201 E Beardsley Ave, Elkhart, IN 46514-3574 | 2010-04-29 |
| Street Address |
2705 N LEBANON ST STE 100 |
| City | LEBANON |
| State | IN |
| Zip Code | 46052-8621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316567647 | Meredith England Labrie | Behavioral Analyst | 110 Birchwood Drivve, Lebanon, IN 46052 | 2020-04-16 |
| 1710401492 | Kenzlie Ann Westerfield | Specialist/Technologist | 613 Countryside Drive, Lebanon, IN 46052 | 2017-08-03 |
| 1487040044 | Jenny L Essex | Social Worker | 1614 N. Lebanon St., Integrative Wellness, LLC, Lebanon, IN 46052 | 2015-04-10 |
| 1316177363 | Kathryn Elizabeth Ehrgott | Counselor | 1005 South Lebanon Street, Boone County Services, Lebanon, IN 46052 | 2009-07-23 |
| 1780838557 | Kathleen M Whitaker | Registered Nurse | 209 W North St, Lebanon, IN 46052 | 2008-11-06 |
| 1851551998 | James R Mcafee | General Practice | 1997 Terrace Ln, Lebanon, IN 46052 | 2008-06-12 |
| 1518021773 | Zulfiqar Ali Mirza | Internal Medicine | 2505 N Lebanon St Ste 220, Lebanon, IN 46052 | 2006-12-21 |
| 1316016108 | Russell Allen Lindner | Chiropractor | 3920 North State Road 39, Boone County Chiropractic Office, Lebanon, IN 46052 | 2006-11-07 |
| 1487755781 | Cowan Drugs Inc | Pharmacy | 112 N Lebanon St, Lebanon, IN 46052 | 2006-09-26 |
| 1558463992 | Cowan Drugs Inc | Pharmacy | 1639 N Lebanon St, Lebanon, IN 46052 | 2006-09-05 |
| Find all providers in zip 46052 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); 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 |
|---|---|---|---|---|
| 1588212096 | Kratzer Pharmacy Inc. | Pharmacy | 118 W Main St Ste D, Lebanon, OH 45036-2098 | 2019-08-28 |
| 1235690835 | Stauffers Drug Store Ltd | Pharmacy | 920 Church St Ste 100, Lebanon, PA 17046-4656 | 2019-03-27 |
| 1073929220 | Genoa Healthcare, LLC | Pharmacy | 975b Kingsview Dr, Lebanon, OH 45036-9562 | 2014-07-09 |
| 1598975013 | Mid Valley Healthcare Inc | Pharmacy | 675 N 5th Street, Lebanon, OR 97355-2875 | 2007-05-23 |
| 1386739225 | Prescriptions Plus | Pharmacy | 753 True Value Dr, Lebanon, IL 62254-1593 | 2006-10-04 |
| 1487755781 | Cowan Drugs Inc | Pharmacy | 112 N Lebanon St, Lebanon, IN 46052 | 2006-09-26 |
| 1124126735 | Pennsylvania Cvs Pahrmacy, L.L.C. | Pharmacy | 1760 Quention Rd Cedar Crest Square, Lebanon, PA 17042 | 2006-09-20 |
| 1720185333 | Wilkinson Pharmacy Inc | Pharmacy | 143 W Elm, Lebanon, MO 65536 | 2006-09-19 |
| 1609979319 | Tennessee Cvs Pharmacy, L.L.C. | Pharmacy | 1228 W Main St, Lebanon, TN 37087-3208 | 2006-09-07 |
| 1649373358 | Ohio Cvs Stores LLC | Pharmacy | 605 Columbus Ave, Lebanon, OH 45036-1605 | 2006-09-07 |
| Find all providers in LEBANON | ||||
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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.