PARKVIEW HOSPITAL, INC. (NPI# 1942428420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942428420 |
| Entity Type | Organization |
| Organization Name | PARKVIEW HOSPITAL, INC. |
| Other Organization Name | MEDICAL PARK 11 PHARMACY |
| Practice Address |
11104 Parkview Circle Drive Fort Wayne IN 46845-1704 |
| Practice Telephone | 2602664545 |
| Practice Fax Number | 2602664549 |
| Mailing Telephone | 2602664545 |
| Mailing Fax Number | 2602664549 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2019-07-16 |
| NPI Deactivation Date | 04/24/2019 |
| NPI Reactivation Date | 2019-07-16 |
| Authorized Official Name | JEANNE WICKENS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2602669313 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARKVIEW HOSPITAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
60000294A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100470980A | 05 | |
| NCPDP | 1536119 | 01 |
| Other Name | Type Code |
|---|---|
| Medical Park 11 Pharmacy | Doing Business As Name - Organization |
| Parkview North | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962109 | Parkview Hospital, Inc. | Home Health | 1900 Carew St, Ste 6, Fort Wayne, IN 46805-4765 | 2005-06-20 |
| 1851927529 | Parkview Hospital, Inc. | Home Health | 1450 Production Rd Ste 100, Fort Wayne, IN 46808-1167 | 2020-03-13 |
| 1508164914 | Parkview Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2011-03-09 |
| 1669576997 | Parkview Hospital, Inc. | Surgery | 11109 Parkview Plaza Dr, Trauma Unit, Fort Wayne, IN 46845-1701 | 2006-09-08 |
| 1487662961 | Parkview Hospital, Inc. | Psychiatric Unit | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2006-08-03 |
| 1518975069 | Parkview Hospital, Inc. | Skilled Nursing Facility | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2006-08-03 |
| 1710993761 | Parkview Hospital, Inc. | Rehabilitation Unit | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2006-07-31 |
| 1508872482 | Parkview Hospital, Inc. | Ambulance | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2006-07-31 |
| 1366407603 | Parkview Hospital, Inc. | General Acute Care Hospital | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2006-04-19 |
| 1922004183 | Parkview Hospital, Inc. | Hospice Care, Community Based | 1900 Carew St, Ste 6, Fort Wayne, IN 46805-4765 | 2005-06-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PARKVIEW HOSPITAL, INC. | 10501 Corporate Dr, Fort Wayne, IN 46845-1700 |
| Indiana Business Entities | PARKVIEW HOSPITAL, INC. | 2200 Randallia Drive, Fort Wayne, IN 46805 |
| Street Address |
11104 PARKVIEW CIRCLE DRIVE |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265942353 | Melanie Michelle Kizziar | Registered Nurse | 11104 Parkview Circle Drive, 330, Fort Wayne, IN 46845-4684 | 2017-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| 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] |
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|---|---|---|---|---|
| 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 |
| 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 |
| 1225441975 | United Surgeons, LLC | Pharmacy | 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1442 | 2014-06-10 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
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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.