P & R HOME IV SERVICE INC (NPI# 1578700399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578700399 |
| Entity Type | Organization |
| Organization Name | P & R HOME IV SERVICE INC |
| Practice Address |
16937 Defiance Trail Van Wert OH 45891 |
| Practice Telephone | 8005877670 |
| Practice Fax Number | 4195873229 |
| Mailing Telephone | 8005877670 |
| Mailing Fax Number | 4195873229 |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-21 |
| Authorized Official Name | MRS. ROBIN SUE FARRIS (SECRETARY TREASURER) |
| Authorized Official Telephone | 4195873349 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 02434900 | OH | Suppliers |
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
02434900 | OH | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
02434900 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0631301 | 05 | |
| OH | MEDICAL MUTUAL OF OHIODME | 340835023003 | 01 |
| OH | ANTHEM IV | 000000224193 | 01 |
| OH | NORTHWOOD NPN | 53234 | 01 |
| OH | ANTHEM DME | 000000155895 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124131925 | P & R Home Iv Service Inc | Durable Medical Equipment & Medical Supplies | 16937 Defiance Trl, Van Wert, OH 45891-8619 | 2006-08-16 |
| Street Address |
16937 DEFIANCE TRAIL |
| City | VAN WERT |
| State | OH |
| Zip Code | 45891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821638172 | Katlynn A Dotson | Social Worker | 160 Fox Road, Van Wert, OH 45891 | 2020-01-14 |
| 1982107975 | Van Wert Medical Services, Ltd. | Clinic/Center | 214 Towne Center Blvd, Van Wert, OH 45891 | 2018-03-15 |
| 1871800698 | Ronetta E Marhoover | Nurse Practitioner | 1052 S Washington Street, Van Wert, OH 45891 | 2010-09-01 |
| 1780918243 | Sherry Ann Eibling | Nurse's Aide | 3683 St Rt 127n, Van Wert, OH 45891 | 2009-09-30 |
| 1053552596 | Betty Jean Miller | Massage Therapist | 7079 Us. Rt. 127 N., Van Wert, OH 45891 | 2009-03-12 |
| 1619167236 | Scott David Shie | Urology | Van Wert Health Urology, 140 Fox Rd. Ste 105, Van Wert, OH 45891 | 2007-07-30 |
| 1386866283 | John Carl Cook Jr. | Dentist | 723 W Main St, Van Wert, OH 45891 | 2007-05-02 |
| 1396866620 | Orthopaedic Institute of Ohio, Inc. | Orthopaedic Surgery | 1180 Professional Drive, Van Wert, OH 45891 | 2007-04-03 |
| 1659400224 | Hearth & Home Assisted Living | Assisted Living Facility | 1118 Westwood Drive, Van Wert, OH 45891 | 2007-03-02 |
| 1932274099 | Derry Drugs Inc | Pharmacist | 1191 Westwood Dr, Van Wert, OH 45891 | 2006-11-22 |
| Find all providers in zip 45891 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1457454175 | Ohio Cvs Stores LLC | Pharmacy | 703 W Ervin Rd, Van Wert, OH 45891-2201 | 2006-09-07 |
| 1679173637 | Alissia Beth Schumacher | Pharmacy | 301 Town Center Blvd, Van Wert, OH 45891-9087 | 2020-10-29 |
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| 1992325567 | The Kroger Co | Pharmacy | 3255 Eden Ave, Suite 336, Cincinnati, OH 45229 | 2020-04-23 |
| 1689200461 | Cross Point Pharmacy | Pharmacy | 800 Cross Pointe Rd Ste P, Gahanna, OH 43230-6690 | 2020-03-12 |
| 1245870864 | Bravo Rx Pharmacy | Pharmacy | 4125 W Broad St # B, Columbus, OH 43228-1600 | 2020-01-11 |
| 1235777350 | Tan Thai Inc | Pharmacy | 4300 Clime Rd Ste 111, Columbus, OH 43228-6491 | 2019-12-19 |
| 1144868597 | Blanchard Valley Regional Health Center | Pharmacy | 930 Sheriden Dr Ste C, Carey, OH 43316-1502 | 2019-12-17 |
| 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.