Organization Active NPI

Immunization Consultants of Central Ohio, LLC

  • Clinic/Center
  • Sunbury, OH
National Provider Identifier
1013146950
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
021988950 Issued in OH
Legal business name
IMMUNIZATION CONSULTANTS OF CENTRAL OHIO, LLC
Practice address
801 W Cherry St
Suite 129
Sunbury, OH 43074-8573
Phone
(614) 214-0128
NPI assigned
Jul 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Authorized official

Name
Daniel S Williams, PHARM.D.NPI 1891924833
Title
Member
Phone
(614) 214-0128

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
Clinic/Center 261Q00000X 021988950 OH Primary
Clinic Pharmacy 3336C0002X 021988950-12 OH

Addresses

Primary practice location

801 W Cherry St
Suite 129
Sunbury, OH 43074-8573

Mailing address

801 W Cherry St
Suite 129
Sunbury, OH 43074-8573
Phone (614) 214-0128

National Provider Directory

National Provider Directory

Locations

801 W Cherry St
Ste 129
Sunbury, OH 43074
Phone (614) 214-0128

Practitioners 1

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": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1013146950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W CHERRY ST",
            "address_2": "SUITE 129",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430748573",
            "telephone_number": "614-214-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W CHERRY ST",
            "address_2": "SUITE 129",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430748573",
            "telephone_number": "614-214-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMUNIZATION CONSULTANTS OF CENTRAL OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "614-214-0128",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "021988950",
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "OH",
            "license": "021988950-12",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunbury, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.