PAULS PHARMACY INC
NPI 1083615603
Pharmacy - Community/Retail Pharmacy in Evansville, IN

Q: What is Pauls Pharmacy Inc's NPI number?

The NPI number for Pauls Pharmacy Inc is 1083615603. It was assigned to this organization in the NPPES registry on August 4, 2005. The provider is doing business as Paul's Pharmacy.

Q: What is Pauls Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since August 04, 2005CLIA 15D2185760 · Waiver

4701 UNIVERSITY DR, EVANSVILLE, IN 47712(812) 425-4364(812) 425-5399 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Pauls Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAULS PHARMACY INC (NPI 1083615603), doing business as Paul's Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Evansville, Indiana and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through June 8, 2028 and lists Jacob Mayer, President, Owner, as its authorized official.

NPPES Registry Identity

NPI1083615603

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NamePAULS PHARMACY INC

Location Address4701 UNIVERSITY DREvansville, IN 47712-6583

Mailing Address4701 University DrEvansville, IN 47712-6583 · (812) 425-4364 · Fax (812) 425-5399

Phone(812) 425-4364

Fax(812) 425-5399

Organization SubpartNo

Authorized OfficialJacob MayerPresident, Owner · (812) 425-4364

Enumeration DateAugust 4, 2005

Last NPPES UpdateAugust 28, 2025

NPPES CertifiedAugust 14, 2025

✔ NPI 1083615603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in IN · 60006286A

Definition

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.

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X

Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X

4701 UNIVERSITY DR, Evansville, IN 47712

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Other Names 1

Doing Business AsPaul's Pharmacy

Other Identifiers 2

Medicaid100301850IN

Other2024003Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2185760

Paul's Pharmacy · Evansville, IN

Active · expires Jun 8, 2028

CLIA Number15D2185760

Laboratory TypePharmacy

Certificate Effective DateJune 9, 2026

Certificate Expiration DateJune 8, 2028

Laboratory DirectorJonathan D. Garvey

Laboratory Phone(812) 425-4364

Laboratory LocationPaul's Pharmacy2345 W Franklin St, Evansville, IN 47712

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

198 services198 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

158 services158 patients

Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home M0201

The Covid-19 vaccine can be administered at your home for convenience and safety. This service is reported once per home, per date, when only the vaccine is given. It's a straightforward process where a medical professional visits your home to give the vaccine.

104 services104 patients

Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304

The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.

22 services22 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Pauls Pharmacy carries, from the Medicare DMEPOS supplier directory.

Pauls Pharmacy

DMEPOS supplier · Evansville, INOperated by Pauls Pharmacy Inc

✔

Accepts Medicare assignment

Pauls Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20603135

Medicare Participant SinceNovember 8, 2002

Supplier Location2345 W Franklin StEvansville, IN 47712

Phone(812) 425-4364

Supplier Specialties

Pharmacy

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pauls Pharmacy Inc's NPI number?

The NPI number for Pauls Pharmacy Inc is 1083615603. It was assigned to this organization in the NPPES registry on August 4, 2005. The provider is doing business as Paul's Pharmacy.

Where is Pauls Pharmacy Inc located?

Pauls Pharmacy Inc is located at 4701 University Dr, Evansville, IN 47712. The listed phone number is (812) 425-4364.

What is Pauls Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Pauls Pharmacy Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Pauls Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Pauls Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2185760) is associated with this NPI, valid through June 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pauls Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Pauls Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pauls Pharmacy Inc was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.