PEMBERVILLE DRUG STORE LLC (NPI# 1184907115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184907115 |
Entity Type | Organization |
Organization Name | PEMBERVILLE DRUG STORE LLC |
Practice Address |
139 E Front St # 897 Pemberville OH 43450-7032 |
Practice Telephone | 4192873238 |
Practice Fax Number | 4192872008 |
Mailing Telephone | 4192873238 |
Mailing Fax Number | 4192872008 |
Enumeration Date | 2011-09-26 |
Last Update Date | 2011-09-26 |
Authorized Official Name | MR. JOSEPH LEE BAUMGARTNER (OWNER) |
Authorized Official Telephone | 4192873238 |
Authorized Official Credential | RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
022122100 | OH | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2010620 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881766418 | Pemberville Drug Store LLC | Durable Medical Equipment & Medical Supplies | 143 E Front St, Pemberville, OH 43450-7032 | 2006-11-15 |
Street Address |
139 E FRONT ST # 897 |
City | PEMBERVILLE |
State | OH |
Zip Code | 43450-7032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780656082 | Rebecca L. Krukemyer | Audiologist | 133 East Front St., Pemberville, OH 43450 | 2006-02-02 |
1437146867 | William O Donnelly | Psychologist | 429 W. College Ave, Donnelly Community Psychology, Pemberville, OH 43450 | 2005-09-30 |
1053452490 | Jon Timothy Truman | Chiropractor | 131 E Front St, Pemberville, OH 43450-0415 | 2007-02-09 |
1295829703 | Pre Cursor Inc | Durable Medical Equipment & Medical Supplies | 143 East Front Street, Pemberville, OH 43450-0897 | 2006-10-02 |
1396243069 | Ags Holding LLC | Pharmacy | 209 Bierley Ave, Pemberville, OH 43450-7003 | 2018-01-29 |
1881868784 | Portage Valley Hearing, LLC | Clinic/Center | 133 E Front St, Pemberville, OH 43450-7032 | 2008-04-22 |
1881766418 | Pemberville Drug Store LLC | Durable Medical Equipment & Medical Supplies | 143 E Front St, Pemberville, OH 43450-7032 | 2006-11-15 |
1750467783 | John T Archer & Associates Inc | Optometrist | 213 E Front St, Pemberville, OH 43450-7036 | 2006-10-31 |
1285860528 | Portage River Rehab | Occupational Therapist | 222 E Front St, Ste 3, Pemberville, OH 43450-7105 | 2009-06-01 |
1467787333 | Amy Andrews | Speech-Language Pathologist | 222 E Front St, Ste 135 B, Pemberville, OH 43450-7105 | 2009-10-12 |
Find all providers in zip 43450 |
Taxonomy Code | 3336L0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Long Term Care Pharmacy |
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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1053967364 | Ksar LLC | Pharmacy | 2245 W Dublin Granville Rd Ste 103, Worthington, OH 43085-3336 | 2019-08-13 |
1629639281 | Hhc Enterprises Inc | Pharmacy | 1451 Yauger Rd Ste 1h, Mount Vernon, OH 43050-7902 | 2019-06-25 |
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1710542220 | Kratzer Pharmacy Inc. | Pharmacy | 187 W Locust St, Wilmington, OH 45177 | 2019-05-09 |
1760963326 | Fitzgerald Seaman Pharmacy | Pharmacy | 17860 St Rt 247, Seaman, OH 45679 | 2018-08-22 |
Find all providers with the same taxonomy |
City | PEMBERVILLE |
Zip Code | 43450 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.