Provider Demographics
NPI:1598911265
Name:HEALTHWAREHOUSE COM INC
Entity Type:Organization
Organization Name:HEALTHWAREHOUSE COM INC
Other - Org Name:HEALTHWAREHOUSE COM INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-748-7001
Mailing Address - Street 1:7107 INDUSTRIAL RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-2907
Mailing Address - Country:US
Mailing Address - Phone:866-885-0508
Mailing Address - Fax:866-821-3784
Practice Address - Street 1:7107 INDUSTRIAL RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-2979
Practice Address - Country:US
Practice Address - Phone:866-885-0508
Practice Address - Fax:866-821-3784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-14
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0218351503336M0002X
KYP074533336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3677169OtherNCPDP PROVIDER IDENTIFICATION NUMBER