MARK V COBERLY (NPI# 1366526006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366526006 |
| Entity Type | Organization |
| Organization Name | MARK V COBERLY |
| Other Organization Name | VILLAGE GREEN PHARMACY |
| Practice Address |
4195 Massillion Rd Ste B Union Town OH 44685 |
| Practice Telephone | 3308960212 |
| Practice Fax Number | 3308960682 |
| Mailing Telephone | 3308960212 |
| Mailing Fax Number | 3308960682 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-07-15 |
| Authorized Official Name | MARK COBERLY (OWNER) |
| Authorized Official Telephone | 3308960212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 183500000X | Pharmacist | 03 2 12837 | OH | Pharmacy Service Providers |
| Y | 333600000X | Pharmacy | 02588950 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3642750 | 01 | |
| OH | 0573955 | 05 |
| Other Name | Type Code |
|---|---|
| Village Green Pharmacy | Doing Business As Name - Organization |
| Street Address |
4195 MASSILLION RD STE B |
| City | UNION TOWN |
| State | OH |
| Zip Code | 44685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719457 | Bonnie Jean Dearmitt | Home Health Aide | 1550 Corporate Woods Parkway, Uniontown, OH 44685 | 2020-08-10 |
| 1902434012 | Jennifer Lenz | Physical Therapist | 1490 Town Park Blvd., Uniontown, OH 44685 | 2020-04-01 |
| 1245778505 | Mary Christina Mcmullen | Nurse Practitioner | 1560 Corporate Woods Pkwy Ste 313, Uniontown, OH 44685 | 2017-02-07 |
| 1447649173 | Verrelle Lee Wyatt | Physical Therapist | 1587 Boettler Rd Ste 140, Uniontown, OH 44685 | 2015-01-19 |
| 1043636459 | Cathy Anne Marshall | Licensed Practical Nurse | 3474 Wright Rd Nw, Uniontown, OH 44685 | 2014-03-10 |
| 1033545991 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 3761 Massilon Rd, Green, OH 44685 | 2013-09-23 |
| 1417399643 | T's Transportation | Private Vehicle | 3072 Raymond St Nw, Uniontown, OH 44685 | 2013-07-30 |
| 1831531052 | Carmen Polanco Santos | Internal Medicine | 1946 Town Park Blvd Ste 330, Uniontown, OH 44685 | 2013-07-30 |
| 1659637171 | Summa Emergency Associates Inc | Emergency Medicine | 1825 Frank Parkway, Uniontown, OH 44685 | 2012-04-10 |
| 1659661619 | Olga A Kuzmin | Internal Medicine | 1835 Franks Parkway, Summa Physicians Inc. Green Internal Medicine, Uniontown, OH 44685 | 2011-04-12 |
| Find all providers in zip 44685 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| 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: added definition] |
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| 1477150951 | Genesis Healthcare System | Pharmacy | 945 Bethesda Dr Ste 20, Zanesville, OH 43701-0801 | 2020-10-07 |
| 1700493517 | Health Springs Rx LLC | Pharmacy | 9474 Springboro Pike, Miamisburg, OH 45342-4426 | 2020-09-25 |
| 1154939304 | University Hospitals Home Care Services Inc | Pharmacy | 24865b Emery Rd, Attn: Allene Naples, Warrensville Heights, OH 44128-5636 | 2020-07-14 |
| 1285257451 | Signal Hill Solutions, Inc. | Pharmacy | 5718 Signal Hill Ct Ste B, Milford, OH 45150-1452 | 2020-05-22 |
| 1912527979 | Wellness 1 Pharmacy- Mason | Pharmacy | 6681 Western Row Rd, Mason, OH 45040-1305 | 2020-04-20 |
| 1972122927 | Matrix Rx LLC | Pharmacy | 3775b Trueman Ct, Hilliard, OH 43026-2496 | 2020-04-09 |
| 1770112526 | Hebron Rx Care LLC | Pharmacy | 96-d Integrity Dr, Hebron, OH 43025 | 2020-04-03 |
| 1740816453 | Mahavir Swami LLC | Pharmacy | 540 N Center St, Lagrange, OH 44050-9749 | 2020-03-14 |
| 1316572316 | Covermymeds Specialty Pharmacy LLC | Pharmacy | 2 Miranova Pl 10th Fl, Suite 101, Columbus, OH 43215 | 2020-03-10 |
| Find all providers with the same taxonomy | ||||
| City | UNION TOWN |
| Zip Code | 44685 |
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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.