Active NPI
Packs Pharmacy Inc
- Community/Retail Pharmacy
- Cincinnati, OH
National Provider Identifier
1013072388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 020079850
- Legal business name
- PACKS PHARMACY INC
- Doing business as
- PACKS PHARMACY
- Practice address
- 2114 Madison Rd
Cincinnati, OH 45208-3221 - Phone
- (513) 871-7770
- Fax
- (513) 871-0492
- NPI assigned
- Dec 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Forrest Pack
- Title
- Owner/President
- Phone
- (513) 871-7770
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 020079850 | OH | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
2114 Madison Rd
Cincinnati, OH 45208-3221
Mailing address
2114 Madison Rd
Cincinnati, OH 45208-3221
Phone (513) 871-7770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2075171 | Other | PK |
Other names 1
- PACKS PHARMACY
National Provider Directory
National Provider DirectoryLocations
2114 Madison Rd
Cincinnati, OH 45208
Phone (513) 871-7770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481587200000",
"number": "1013072388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2114 MADISON RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452083221",
"telephone_number": "513-871-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2114 MADISON RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452083221",
"telephone_number": "513-871-7770",
"fax_number": "513-871-0492"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACKS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-26",
"last_updated": "2016-12-13",
"status": "A",
"authorized_official_last_name": "PACK",
"authorized_official_first_name": "FORREST",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "513-871-7770"
},
"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": "020079850",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2075171",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PACKS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.