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GOSHEN HOSPITAL ASSOCIATION INC NPI 1548590847


NPI Information

NPI: 1548590847
Provider Name: GOSHEN HOSPITAL ASSOCIATION INC

Doing Business As: GOSHEN CANCER CENTER OUTPATIENT PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
200 HIGH PARK AVE
GOSHEN, IN
ZIP 46526
Phone: (574) 364-2803
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GOSHEN HOSPITAL ASSOCIATION INC is a community/retail pharmacy pharmacy in Goshen, IN. The provider is 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. GOSHEN HOSPITAL ASSOCIATION INC NPI is 1548590847. The provider is registered as an organization entity type.
The provider Is Doing Business As Goshen Cancer Center Outpatient Pharmacy.

The provider's business location address is:

200 HIGH PARK AVE
GOSHEN, IN
ZIP 46526-810
Phone: (574) 364-2803
Fax: (574) 364-2804

The provider's authorized official is Patrick Schneider .
The authorized official title is Director Of Pharmacy and has the following contact phone number (574) 364-2651.

The enumeration date for this NPI number is 1/8/2010 and was last updated on 9/17/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy60001389AINDIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12122794OTHERPK
2200984460AMEDICAIDINDIANA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.