COBRA PHARMACY, LLC (NPI# 1558762138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558762138 |
| Entity Type | Organization |
| Organization Name | COBRA PHARMACY, LLC |
| Other Organization Name | HOLBROOK'S HOMETOWN PHARMACY |
| Practice Address |
37 C Lucasville-minford Road Lucasville OH 45648 |
| Mailing Address |
37c Lucasville Minford Rd Lucasville OH 45648-9023 |
| Practice Telephone | 7403578426 |
| Mailing Telephone | 7402590041 |
| Mailing Fax Number | 7402590044 |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2018-04-27 |
| Authorized Official Name | DR. BRANDON LEE HOLBROOK (MEMBER/PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 7403578426 |
| Authorized Official Credential | PHARMD, RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 02242120003 | OH | Suppliers |
| Other Name | Type Code |
|---|---|
| Holbrook's Hometown Pharmacy | Doing Business As Name - Organization |
| Street Address |
37 C LUCASVILLE-MINFORD ROAD |
| City | LUCASVILLE |
| State | OH |
| Zip Code | 45648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366842221 | Premier Therapy & Health Centers, Inc. | Clinic/Center | 10606 U.S. 23, Lucasville, OH 45648 | 2014-08-28 |
| 1720495260 | Stephanie Jordan | Contractor | 9500 Campcreek Rd, Lucasville, OH 45648 | 2014-07-16 |
| 1851630255 | Amy D Reeder | Occupational Therapy Assistant | 10098a Big Bearcreek, Lucasville, OH 45648 | 2013-02-05 |
| 1033458567 | Christopher E Holbrook Sr. | Durable Medical Equipment & Medical Supplies | 10324 Us Rte 23, Lucasville, OH 45648 | 2013-02-04 |
| 1366735953 | Health Maintenance Partners, Inc. | Clinic/Center | 10701 Us 23 South, Lucasville, OH 45648 | 2011-05-16 |
| 1154552271 | Dianne N Bragdon | Licensed Practical Nurse | 115 Borders Road, Lucasville, OH 45648 | 2009-08-06 |
| 1134368459 | Friends of Good Shepherd Manor | Intermediate Care Facility, Mentally Retarded | 374 Good Manor Rd, Lucasville, OH 45648 | 2009-02-10 |
| 1366688897 | Scioto Ambulance District | Ambulance | 7106 Big Bear Creek Road, Lucasville, OH 45648 | 2009-01-06 |
| 1831311422 | Cheryl Annette Frazier | Licensed Practical Nurse | 763 Dewey Ext, Lucasville, OH 45648 | 2007-05-03 |
| 1457576522 | Christina Marie Miller | Home Health Aide | 316 Luckett Rd, Lucasville, OH 45648 | 2007-04-16 |
| Find all providers in zip 45648 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205010618 | Clinical Pharmacy Services, LLC | Pharmacy | 50a Center St, Lucasville, OH 45648-7826 | 2007-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114013 | North Linden Pharmacy | Pharmacy | 1000 Georgesville Rd Ste B, Columbus, OH 43228-3304 | 2020-11-05 |
| 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 | LUCASVILLE |
| Zip Code | 45648 |
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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.