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CLOVERDALE DRUGS
NPI 1780788927
Pharmacy in Cloverdale, IN

Active since September 08, 2006CLIA 15D2230365 · Waiver
900 N MAIN ST, CLOVERDALE, IN 46120(765) 795-4100(765) 795-5310 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cloverdale Drugs NPPES

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

CLOVERDALE DRUGS (NPI 1780788927) is a healthcare organization registered as a pharmacy in Cloverdale, Indiana and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Kennedy Ryan, Owner, as its authorized official.

NPPES Registry Identity

NPI1780788927
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCLOVERDALE DRUGS, INC
Location Address900 N MAIN STCloverdale, IN 46120-8506
Mailing AddressPo Box 357Cloverdale, IN 46120-0357 · (765) 795-4100 · Fax (765) 795-5310
Phone(765) 795-4100
Fax(765) 795-5310
Organization SubpartNo
Authorized OfficialKennedy RyanOwner · (765) 795-4100
Enumeration DateSeptember 8, 2006
Last NPPES UpdateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
✔ NPI 1780788927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
900 N MAIN ST, Cloverdale, IN 46120
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Other Names 1

Doing Business AsCloverdale Drugs

Other Identifiers 2

Other1509934Nabp
Medicaid100300610IN

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 15D2230365

Cloverdale Drugs · Cloverdale, IN
Active · expires Jul 21, 2027
CLIA Number15D2230365
Laboratory TypePharmacy
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorKennedy Ryan
Laboratory Phone(765) 795-4100
Laboratory LocationCloverdale Drugs900 N Main St, Cloverdale, IN 46120
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
47 services47 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.
44 services44 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Cloverdale Drugs carries, from the Medicare DMEPOS supplier directory.

Cloverdale Drugs

DMEPOS supplier · Cloverdale, INOperated by Cloverdale Drugs, Inc
✔

Accepts Medicare assignment

Cloverdale Drugs 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)20570957
Medicare Participant SinceJanuary 1, 2007
Supplier Location900 N Main StCloverdale, IN 46120
Phone(765) 795-4100
Supplier Specialties
Certified Other Pharmacy

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Diabetic Shoes/Inserts - Custom
Custom fabricated shoes, socks, & insoles
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

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

CASSIE ANNE PERRAS PHARMD
Pharmacist
900 N MAIN ST
CLOVERDALE, IN 46120
Putnam County (765) 795-4100
BENJAMIN J LANEY PHARMD
Pharmacist
900 N MAIN ST
CLOVERDALE, IN 46120
Putnam County (765) 795-4100
KENNEDY RYAN
Pharmacist
900 N MAIN ST
CLOVERDALE, IN 46120
Putnam County (765) 795-4100
WHITNEY ANNE SMITH
Pharmacist
900 N MAIN ST
CLOVERDALE, IN 46120
Putnam County (765) 795-4100

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 Cloverdale Drugs, Inc's NPI number?

The NPI number for Cloverdale Drugs, Inc is 1780788927. It was assigned to this organization in the NPPES registry on September 8, 2006. The provider is doing business as Cloverdale Drugs.

Where is Cloverdale Drugs, Inc located?

Cloverdale Drugs, Inc is located at 900 N Main St, Cloverdale, IN 46120. The listed phone number is (765) 795-4100.

What is Cloverdale Drugs, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Cloverdale Drugs, Inc accept Medicare assignment for medical equipment?

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

Does Cloverdale Drugs, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2230365) is associated with this NPI, valid through July 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cloverdale Drugs, 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 Cloverdale Drugs, 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 Cloverdale Drugs, Inc was last updated on March 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.