JEFFREY L HOLYCROSS (NPI# 1891807806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891807806 |
| Entity Type | Organization |
| Organization Name | JEFFREY L HOLYCROSS |
| Other Organization Name | ARIES PHARMACY |
| Practice Address |
8200 State Route 366 Russells Point OH 43348-9670 |
| Practice Telephone | 9738433700 |
| Practice Fax Number | 9378432801 |
| Mailing Telephone | 9738433700 |
| Mailing Fax Number | 9378432801 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-06-13 |
| Authorized Official Name | JEFF HOLYCROSS (OWNER PHARMACIST) |
| Authorized Official Telephone | 9378433700 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 020495300 | OH | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3643269 | 01 | |
| OH | DEA # | BA0820262 | 01 |
| OH | 0577666 | 05 |
| Other Name | Type Code |
|---|---|
| Aries Pharmacy | Doing Business As Name - Organization |
| Street Address |
8200 STATE ROUTE 366 |
| City | RUSSELLS POINT |
| State | OH |
| Zip Code | 43348-9670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053386847 | Jeffrey L Holycross | Pharmacist | 8200 State Route 366, Russells Point, OH 43348-9670 | 2006-02-23 |
| 1992356356 | Center for Trauma Therapy and Counseling | Social Worker | 8200 State Route 366, Russells Point, OH 43348-9670 | 2019-09-26 |
| 1962828293 | Community Health & Wellness Partners of Logan County | Clinic/Center | 8200 State Route 366, Suite No. 1, Russells Point, OH 43348-9670 | 2014-03-11 |
| 1598999385 | William Gingerich | Social Worker | 8200 State Route 366, Ste 2b, Russells Point, OH 43348-9670 | 2009-05-07 |
| 1679745673 | Lakeview Medical, Inc. | Family Medicine | 8200 State Route 366, Russells Point, OH 43348-9670 | 2008-03-31 |
| 1770705345 | Paul V. Bonetzky Do | Clinic/Center | 8200 State Route 366, Russells Point, OH 43348-9670 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932397411 | My Urban Clinic, Inc | Clinic/Center | 8200 Sr 366, Russell Point, OH 43348 | 2007-10-09 |
| 1992911317 | James Herbert Levan | Pharmacist | 120 W. Main St, Russells Point, OH 43348 | 2007-05-15 |
| 1891108478 | Matthew Castle | Pharmacist | 120 West Main Street, Russell's Point, OH 43348 | 2014-06-11 |
| 1255685178 | Sharon Burris | Pharmacist | 120 W. Main St., Russells Point, OH 43348 | 2012-10-30 |
| 1871765404 | Teresa Marie Robinson | Pharmacist | 120 West Main Street, Russells Point, OH 43348 | 2008-03-24 |
| 1124215652 | Costin Family Practice, Inc. | Family Medicine | 303 East Main Street, Russells Point, OH 43348 | 2007-09-28 |
| 1609904887 | Gregory W. Fogt | Pharmacist | 120 W. Main St., Russells Point, OH 43348-0636 | 2007-03-01 |
| 1083889000 | Brianne Nicole Huffman | Home Health Aide | 212 Oakcrest Ct, Russells Point, OH 43348-1937 | 2008-04-30 |
| 1326465113 | Monica Klinker | Physical Therapy Assistant | 140 Burkhart Ave, Russells Point, OH 43348-9552 | 2014-03-18 |
| 1336333988 | Joanna Carey Henry | Massage Therapist | 303 East Main Street, Suite 3, Russells Point, OH 43348-9601 | 2007-08-28 |
| Find all providers in zip 43348 | ||||
| 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] |
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| 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 | ||||
| City | RUSSELLS POINT |
| Zip Code | 43348 |
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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.