Organization Active NPI

Packs Pharmacy Inc

  • Community/Retail Pharmacy
  • Cincinnati, OH
National Provider Identifier
1013072388
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020079850 Issued in OH
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

Updated by the provider on Dec 13, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2075171OtherPK

Other names 1

  • PACKS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.