PEMBERVILLE DRUG STORE LLC


Address: 139 E Front St # 897, Pemberville, OH 43450-7032
Phone: 4192873238

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
022122100 OH Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OH 2010620 05

Other Provider IDs and Locations

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

Office Location

Street Address 139 E FRONT ST # 897
City PEMBERVILLE
State OH
Zip Code 43450-7032

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194323162 East Ohio Regional Hospital Pharmacy 90 N 4th Street, Martins Ferry, OH 43935 2020-10-13
1083228852 Harvest Grove Ltc LLC Pharmacy 10335 S Medallion Dr, Cincinnati, OH 45241-4825 2020-08-31
1801416789 Pill Box Inc Pharmacy 1400 Sr 125, Amelia, OH 45102-2650 2020-04-21
1386271591 Easterday Pharmacy LLC Pharmacy 1696 S. Arch Ave, Alliance, OH 44601 2020-03-26
1659911105 Pillbox Pharmacy, LLC Pharmacy 324 Main St Ste B, Toledo, OH 43605-2038 2020-01-13
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
1639730369 Pharm Investco LLC Pharmacy 434 Alexandersville Rd, Miamisburg, OH 45342-3658 2019-06-24
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
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Competitor

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City PEMBERVILLE
Zip Code 43450

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Dataset Information

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.

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