National Provider Identifier Database

DEACONESS MEMORIAL MEDICAL CENTER INC
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.


Contact Information

DEACONESS MEMORIAL MEDICAL CENTER INC
800 W. 9TH ST
JASPER, IN47546-2514
Phone: 812-996-0643
Fax: 812-996-0214
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Institutional Pharmacy 3336I0012X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for DEACONESS MEMORIAL MEDICAL CENTER INC

NPI Number 1225080963
Legal business name
LBN
DEACONESS MEMORIAL MEDICAL CENTER INC
Authorized official KEITH MILLER - (CAO & INDIANA REGION PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/17/2006
Last updated 05/15/2026 - About 3 weeks ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 050051021
  • IN Medicaid: 100455320

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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