MIDWESTERN COMPOUNDING PHARMACY LLC (NPI# 1518146547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518146547 |
| Entity Type | Organization |
| Organization Name | MIDWESTERN COMPOUNDING PHARMACY LLC |
| Other Organization Name | MIDWESTERN COMPOUNDING PHARMACY |
| Practice Address |
480 S Jefferson Ave Ste 200 Plain City OH 43064-4137 |
| Mailing Address |
Po Box 126 Plain City OH 43064-0126 |
| Practice Telephone | 6147333784 |
| Practice Fax Number | 6147217996 |
| Mailing Telephone | 6147333784 |
| Mailing Fax Number | 6143007558 |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2016-03-24 |
| Authorized Official Name | LONNIE CRAFT (OWNER) |
| Authorized Official Telephone | 6145731557 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
021670150 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2081082 | 01 |
| Other Name | Type Code |
|---|---|
| MIDWESTERN COMPOUNDING PHARMACY | Doing Business As Name - Organization |
| Street Address |
480 S JEFFERSON AVE STE 200 |
| City | PLAIN CITY |
| State | OH |
| Zip Code | 43064-4137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912965674 | Adams Family Medical Center, Inc. | General Practice | 480 S Jefferson Ave, Suite 500, Plain City, OH 43064-4137 | 2006-05-03 |
| 1083277107 | Meghan Nestleroth | Pharmacist | 480 S Jefferson Ave, Plain City, OH 43064-4137 | 2019-04-15 |
| 1881152478 | Tayler Scott Yutzy | Pharmacist | 480 S Jefferson Ave, Plain City, OH 43064-4137 | 2019-03-04 |
| 1457891830 | Craft Holdings Ltd | Pharmacy | 480 S Jefferson Ave, Plain City, OH 43064-4137 | 2017-03-03 |
| 1093974925 | Lonnie Joe Craft | Pharmacist | 480 S Jefferson Ave, Ste 200, Plain City, OH 43064-4137 | 2008-06-05 |
| 1285667444 | Craft Holdings Ltd | Clinic/Center | 480 S Jefferson Ave, Plain City, OH 43064-4137 | 2006-07-09 |
| 1487603601 | John E. Adams II | General Practice | 480 S Jefferson Ave, Suite 500, Plain City, OH 43064-4137 | 2006-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386098143 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 7300 Sr 161, Plain City, OH 43064 | 2016-04-19 |
| 1043664808 | Costco Wholesale Corporation | Pharmacy | 7300 State Route 161 E, Plain City, OH 43064 | 2016-04-19 |
| 1346600855 | Meng Tong | Dentist | 7458 State Route 161 E, Plain City, OH 43064 | 2016-02-25 |
| 1912300302 | Precision Labs, LLC | Clinical Medical Laboratory | 8150 Us Highway 42 N, Plain City, OH 43064 | 2014-09-30 |
| 1477977783 | Kim Barrett | Occupational Therapist | 9200 Us Route 42 S, Plain City, OH 43064 | 2014-02-06 |
| 1689095242 | Debra Wilcox | Registered Nurse | 8150 State Route 42, Suite B, Plain City, OH 43064 | 2013-12-30 |
| 1457657512 | Township of Jerome | Ambulance | 9689 Us Rt 42 North, Plain City, OH 43064 | 2011-02-07 |
| 1558690503 | Edgewater Place, Inc. | Assisted Living Facility | 11351 Lafayette Plain City Road, Plain City, OH 43064 | 2009-12-21 |
| 1841230075 | Advanced Eyecare & Sports Vision Center, Inc. | Optometrist | 302 West Main St., Ste 100, Plain City, OH 43064 | 2006-06-07 |
| 1255988473 | Morgan Oates | Speech-Language Pathologist | 9200 Us Route 42 S, Plain City, OH 43064 | 2019-08-22 |
| Find all providers in zip 43064 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874316 | Harvest Grove Ltc, LLC | Pharmacy | 1113 Medina Rd Ste 700, Medina, OH 44256-9335 | 2020-08-31 |
| 1437705068 | Goodmed Pharmacy, LLC | Pharmacy | 3433 Agler Rd Ste 1400, Columbus, OH 43219-3388 | 2019-08-09 |
| 1295286680 | Ksar LLC | Pharmacy | 2245 W Dublin Granville Rd, Suite 103, Worthington, OH 43085-3350 | 2016-10-20 |
| 1386192482 | Mth Enterprises LLC | Pharmacy | 3495 Burnet Ave, Cincinnati, OH 45229-2876 | 2016-09-17 |
| 1679026157 | Lifecare Pharmacy Corp | Pharmacy | 4730 N Summit St, Toledo, OH 43611-2856 | 2016-08-01 |
| 1700251964 | Hux Enterprises | Pharmacy | 641 Hill Rd N Ste B, Pickerington, OH 43147-9346 | 2015-12-14 |
| 1366811630 | Kmg Pharmacy LLC | Pharmacy | 846 E Main St, Trotwood, OH 45426-2911 | 2015-09-17 |
| 1003299918 | Maumee Discount Pharmacy | Pharmacy | 1398 Conant St Ste C, Maumee, OH 43537-1669 | 2015-07-09 |
| 1639560139 | Infinity Pharmacy, LLC | Pharmacy | 2773 Cleveland Ave, Columbus, OH 43224-4408 | 2015-02-05 |
| 1033532437 | Md Compounding Pharmacy | Pharmacy | 721 Boardman Canfield Rd, Boardman, OH 44512-4386 | 2014-01-22 |
| Find all providers with the same taxonomy | ||||
| City | PLAIN CITY |
| Zip Code | 43064 |
Please comment or provide details below to improve the information on MIDWESTERN COMPOUNDING PHARMACY LLC.
| 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.