Organization · Type 2 NPI

Deaconess Memorial Medical Center Inc

Community/Retail Pharmacy · Jasper, IN

NPI number 1225080963 Active

Practice location

800 W. 9th St
Jasper, IN 47546-2514

Call (812) 996-0643 Map

Fax (812) 996-0214

Mailing address

800 W 9th St
Jasper, IN 47546-2514

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed
Institutional Pharmacy	3336I0012X	050051021 (IN)

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 …

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NPI record

NPI: 1225080963
Entity type: Organization (Type 2)
Issued: May 17, 2006
Last updated: May 15, 2026
Status: Active

Other names

<unavail>
Deaconess Family Pharmacy Memorial · doing business as
Memorial Hospital and Health Care Center · doing business as

Authorized official

Mr. Keith Miller
Cao & Indiana Region President
(812) 996-0507

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1225080963

Deaconess Memorial Medical Center Inc's National Provider Identifier is 1225080963, issued on May 17, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Jasper, IN. The record was last updated on May 15, 2026.