FAMILY PHARMACY INC. NPI 1114088911

NPI Information

NPI: 1114088911
Provider Name: FAMILY PHARMACY, INC.
Classification: Pharmacy - 333600000X
Entity Type: Organization
CLIA Number: 15D0953364
Address: 508 W 11TH ST
BICKNELL, IN
ZIP 47512
Phone: (812) 735-4444

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NPI Details

FAMILY PHARMACY, INC. is a pharmacy in Bicknell, IN. The provider is 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. FAMILY PHARMACY, INC. NPI is 1114088911. The provider is registered as an organization entity type.

The provider's business location address is:

508 W 11TH ST
BICKNELL, IN
ZIP 47512-626
Phone: (812) 735-4444
Fax: (812) 735-3017

The provider's authorized official is Stanley D Deweese .
The authorized official title is President and has the following contact phone number (812) 735-4444.

The CLIA number assigned to this NPI record is 15D0953364 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Administration of influenza virus vaccine (HCPCS:G0008)
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
Fee covid-19 vac 13 res (HCPCS:0124A)
Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
Administration of pneumococcal vaccine (HCPCS:G0009)
Influenza vaccine split virus, preservative free (HCPCS:90662)

The enumeration date for this NPI number is 12/13/2006 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		60002628A	INDIANA	No
2	332BN1400X	Durable Medical Equipment & Medical Supplies	Nursing Facility Supplies	60002628A	INDIANA	No
3	333600000X	Pharmacy		60002628A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	INDIANA	FEDERAL ID NUMBER
2	=========-050	OTHER	INDIANA	CARESOURCE NUMBER
3	1519454	OTHER	INDIANA	NABP
4	000000097231	OTHER	INDIANA	ANTHEM BLUE DME NUMBER
5	0182130001	MEDICARE NSC	INDIANA
6	000000216711	OTHER	INDIANA	ANTHEM BLUE ORTH & PROS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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