Organization Active NPI

J H Lease Drug Co

  • Community/Retail Pharmacy
  • Salem, OH
National Provider Identifier
1003972985
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020143250 Issued in OH
Legal business name
J H LEASE DRUG CO
Practice address
229 N Ellsworth Ave
Salem, OH 44460-2803
Phone
(330) 337-8727
Fax
(330) 337-1303
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jason Perkins, RPHNPI 1588938609
Title
Owner
Phone
(330) 337-8727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 020143250 OH Primary

Addresses

Primary practice location

229 N Ellsworth Ave
Salem, OH 44460-2803

Mailing address

229 N Ellsworth Ave
Salem, OH 44460-2803
Phone (330) 337-8727

Other identifiers 2

IdentifierTypeStateIssuer
2075102OtherPK
5043858MedicaidOH

Other names 1

  • JH LEASE DRUG COMPANY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170502001258 OH Part B Supplier - Mass Immunization (Roster Biller Only) 4688951577 Practice locations: Salem, OH

National Provider Directory

National Provider Directory
Tax ID family
J H Lease Drug Co2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1003972985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N ELLSWORTH AVE",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602803",
            "telephone_number": "330-337-8727",
            "fax_number": "330-337-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N ELLSWORTH AVE",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602803",
            "telephone_number": "330-337-8727",
            "fax_number": "330-337-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J H LEASE DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-337-8727",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "020143250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2075102",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5043858",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JH LEASE DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.