Provider Demographics
NPI:1003852484
Name:PHARMACARE HOME MEDICAL
Entity Type:Organization
Organization Name:PHARMACARE HOME MEDICAL
Other - Org Name:BRENNAN HOME MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:FEICHTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-969-3196
Mailing Address - Street 1:207 S BUFFALO ST
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:IN
Mailing Address - Zip Code:46580-4302
Mailing Address - Country:US
Mailing Address - Phone:574-267-8136
Mailing Address - Fax:
Practice Address - Street 1:207 S BUFFALO ST
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:IN
Practice Address - Zip Code:46580-4302
Practice Address - Country:US
Practice Address - Phone:574-267-8136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN48001510A332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN4029860003Medicare NSC