PMC OHIO LLC (NPI# 1235132721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235132721 |
| Entity Type | Organization |
| Organization Name | PMC OHIO LLC |
| Practice Address |
175 Snyder Rd Hermitage PA 16148 |
| Mailing Address |
3802 Corporex Park Dr Ste 150 Tampa FL 33619-1135 |
| Practice Telephone | 7249816306 |
| Practice Fax Number | 8666179104 |
| Mailing Telephone | 8133186039 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2019-11-18 |
| Authorized Official Name | STEPHEN A LARIVIERE (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 5026277404 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | PP481250 | PA | Suppliers |
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PP481250 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1027028000001 | 05 | |
| NY | 02421621 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3981950 | 01 |
| Street Address |
175 SNYDER RD |
| City | HERMITAGE |
| State | PA |
| Zip Code | 16148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053619775 | Source Diagnostics of Pennsylvania, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 175 Snyder Rd, Hermitage, PA 16148-3431 | 2011-03-03 |
| 1396180113 | John Love | Pharmacist | 175 Snyder Rd, Hermitage, PA 16148-3431 | 2013-05-07 |
| 1346507019 | Source Diagnostics of Pennsylvania, LLC | Clinic/Center | 175 Snyder Rd, Hermitage, PA 16148-3431 | 2012-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571165 | Cassandra L Holder | Physical Therapist | 1559 N. Hermitage Rd, Hermitage, PA 16148 | 2020-09-01 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1336791318 | Catlyn Marie Joseph | Pharmacist | 1851 East State St, Rite Aid Store #10995, Hermitage, PA 16148 | 2019-07-10 |
| 1386203107 | Kaitlyn Mostard-smith | Physical Therapist | 1599 N. Hermitage Rd., Hermitage, PA 16148 | 2019-06-06 |
| 1770001513 | Lee Ann Hougelman | Licensed Practical Nurse | 5454 E. State St., Hermitage, PA 16148 | 2017-08-31 |
| 1194245001 | Samantha C Kilar | Audiologist | 1623 Dutch Lane, Hermitage, PA 16148 | 2017-06-21 |
| 1538419197 | Sharon Lynn Taylor | Physician Assistant | 480 N Kerrwood Dr Ste 103, Hermitage, PA 16148 | 2012-09-11 |
| 1912289638 | Amanda Jo Kline | Physical Therapy Assistant | 260 S Buhl Farm Drive, Whispering Oaks Suite 326, Hermitage, PA 16148 | 2011-09-20 |
| 1447548573 | Robert Joseph Jackson | Licensed Practical Nurse | 5454 East State St, Hermitage, PA 16148 | 2011-07-11 |
| 1386974673 | Susan Dawn Mehallick | Specialist/Technologist | 1005 Campus Circle, Hermitage, PA 16148 | 2010-01-08 |
| Find all providers in zip 16148 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124679584 | Hermitage Apothecary Inc | Pharmacy | 1740 E State St, Hermitage, PA 16148-1862 | 2019-09-26 |
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|---|---|---|---|---|
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| 1245861079 | Giant Eagle, Inc. | Pharmacy | 6204 State Route 30 Ste A, Greensburg, PA 15601-6399 | 2020-01-30 |
| 1730719147 | Millers Pharmacy Inc | Pharmacy | 41857 Us Rt 6, Farm & Home Plaza, Wyalusing, PA 18853 | 2020-01-24 |
| 1083269310 | Rp-prn Inc | Pharmacy | 503 Railroad Ave Ste 2, Patton, PA 16668-1342 | 2019-08-05 |
| 1417513292 | Superior Care Pharmacy Inc | Pharmacy | 518 Burke Byp, Olyphant, PA 18447-1805 | 2019-05-16 |
| 1053871806 | Gdd Pharmacy Services, Inc. | Pharmacy | 2025 Technology Pkwy Ste G04, Mechanicsburg, PA 17050-9400 | 2019-03-20 |
| 1497235196 | Minnich's Pharmacy Inc | Pharmacy | 974 S George St, York, PA 17403-3708 | 2018-08-21 |
| 1194204859 | Johnson's Pharmaceutical Services Inc | Pharmacy | 1400 Proline Pl Ste 800, Gettysburg, PA 17325-9401 | 2018-08-13 |
| Find all providers with the same taxonomy | ||||
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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.