THE ELDER BEERMAN STORES CORP (NPI# 1689789620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689789620 |
| Entity Type | Organization |
| Organization Name | THE ELDER BEERMAN STORES CORP |
| Other Organization Name | ELDER BEERMAN PHARMACY |
| Practice Address |
2917 Philadelphia Dr Dayton OH 45405-1913 |
| Practice Telephone | 9372786341 |
| Practice Fax Number | 9372766192 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DIANE RAY (PHRMCY SUPERVISOR) |
| Authorized Official Telephone | 9372786341 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| X | 333600000X | Pharmacy | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0253363 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3621023 | 01 |
| Other Name | Type Code |
|---|---|
| ELDER BEERMAN PHARMACY | Doing Business As Name - Organization |
| Street Address |
2917 PHILADELPHIA DR |
| City | DAYTON |
| State | OH |
| Zip Code | 45405-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255543203 | Sandra Kay Bowman | Pharmacist | 2917 Philadelphia Dr, Elder Beerman Nw Pharmacy, Dayton, OH 45405-1913 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497252613 | Christina Giuffrida | Student in an Organized Health Care Education/Training Program | Grandview Medical Center, Ou Medical Education Office, 405 W. Grand Avenue, Dayton, OH 45405 | 2018-04-13 |
| 1740718410 | Iain William Decker | Student in an Organized Health Care Education/Training Program | 330 Forest Ave, Dayton, OH 45405 | 2017-05-25 |
| 1144779000 | Horizon Home Healthcare Service, LLC | Home Health | 201 Riverside Dr Ste 2h, Dayton, OH 45405 | 2016-10-03 |
| 1629347695 | Grandview Hospital | General Acute Care Hospital | 405 West Grand Avenue, Dayton, OH 45405 | 2011-12-21 |
| 1962712265 | Lakisha L Barber | Licensed Practical Nurse | 2039 Rustic Road, Dayton, OH 45405 | 2010-10-20 |
| 1457685232 | Sally Ann Easton | Occupational Therapy Assistant | 1390 King Tree Drive, Dayton, OH 45405 | 2009-09-25 |
| 1083848535 | Azeem Z. Vasi | Otolaryngology | 405 W. Grand Ave., Grandview Hospital and Medical Center- Medical Educatio, Dayton, OH 45405 | 2009-05-13 |
| 1588823306 | Dorothy W Clarke | Dietitian, Registered | 405 W Grand, Dayton, OH 45405 | 2008-06-06 |
| 1831243062 | Brian Michael Glenn | Nurse Anesthetist, Certified Registered | 450 W. Grand Avenue, Dayton, OH 45405 | 2007-01-23 |
| 1003989807 | Han Mok Yang | Internal Medicine | 3213 North Main Street, Dayton, OH 45405 | 2006-11-17 |
| Find all providers in zip 45405 | ||||
| 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 |
|---|---|---|---|---|
| 1700262250 | First Care Pharmacy LLC | Pharmacy | 8353 N Main St, Dayton, OH 45415-1602 | 2015-08-07 |
| 1235560541 | Five Star Care Inc. | Pharmacy | 108-b North Main, Dayton, TX 77535 | 2013-12-12 |
| 1689014847 | Adham Enterprises LLC | Pharmacy | 2915 Linden Ave, Dayton, OH 45410-3038 | 2013-07-02 |
| 1336476308 | Ziks Family Pharmacy Inc 102 | Pharmacy | 4140 Salem Avenue, Dayton, OH 45426 | 2009-11-11 |
| 1982778361 | Dayton Osteopathic Hospital | Pharmacy | 1997 Miamisburg-centerville Rd, Dayton, OH 45459 | 2006-11-20 |
| 1619049400 | Barlow Rx Inc | Pharmacy | 8359 N Main St, Dayton, OH 45415-1602 | 2006-11-15 |
| 1962505461 | Ohio Cvs Stores LLC | Pharmacy | 1300 Wilmington Ave, Dayton, OH 45420-1541 | 2006-09-07 |
| 1265544274 | Shelton Pharmacy | Pharmacy | 1525 Wayne Ave, Dayton, OH 45410-1707 | 2006-08-31 |
| 1326053349 | Walgreen Co | Pharmacy | 1542 Wayne Ave, Dayton, OH 45410-1708 | 2006-07-29 |
| 1326072125 | Kroger Limited Partnership I | Pharmacy | 900 N Gettysburg Ave, Dayton, OH 45417-1564 | 2006-07-10 |
| Find all providers in DAYTON | ||||
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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.