FT WAYNE MED ONCOLOGY AND HEMATOLOGY
NPI 1215066949
Pharmacy - Clinic Pharmacy in Fort Wayne, IN

Q: What is Fort Wayne Medical Oncology & Hemat's NPI number?

The NPI number for Fort Wayne Medical Oncology & Hemat is 1215066949. It was assigned to this organization in the NPPES registry on March 6, 2007. The provider is doing business as Ft Wayne Med Oncology And Hematology.

Q: What is Fort Wayne Medical Oncology & Hemat's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Active since March 06, 2007

4402 E STATE BLVD, FORT WAYNE, IN 46815(260) 969-7846(260) 483-1734 Get Directions Write a Review

NPPES record last updated: May 3, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ft Wayne Med Oncology And Hematology NPPES

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

FT WAYNE MED ONCOLOGY AND HEMATOLOGY (NPI 1215066949) is a healthcare organization registered as a clinic pharmacy in Fort Wayne, Indiana and active in the NPI registry since March 2007. The organization lists Tracy Maravilla, Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1215066949

Entity TypeOrganization

Primary Taxonomy3336C0002X

Legal Business NameFORT WAYNE MEDICAL ONCOLOGY & HEMAT

Location Address4402 E STATE BLVDFort Wayne, IN 46815-6917

Mailing AddressPo Box 15099Fort Wayne, IN 46885-5099

Phone(260) 969-7846

Fax(260) 483-1734

Organization SubpartNo

Authorized OfficialTracy MaravillaPharmacy Director · (260) 484-9660

Enumeration DateMarch 6, 2007

Last NPPES UpdateMay 3, 2010

✔ NPI 1215066949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers

Taxonomy Code3336C0002X

License✔ Licensed in IN · 60005894A

Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

4402 E STATE BLVD, Fort Wayne, IN 46815

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Other Names 1

Doing Business AsFt Wayne Med Oncology And Hematology

Other Identifiers 3

Medicare NSC5547740001

Other1560247Ncpdp Provider Identification Number

Medicaid200544860AIN

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EILEEN JILL RAMOS MUZZILLO MD

Internal Medicine