Organization Active NPI

Community First Pharmacy

  • Community/Retail Pharmacy
  • Hamilton, OH
National Provider Identifier
1013190099
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RTP021761700 Issued in OH
Legal business name
COMMUNITY FIRST PHARMACY
Practice address
1026 Main Street
Hamilton, OH 45013
Phone
(513) 645-5447
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Brian Krause
Title
Cfo,Ao
Phone
(513) 785-4054

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X RTP021761700 OH Primary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X
Long Term Care Pharmacy 3336L0003X RTP021761700 OH

Addresses

Primary practice location

1026 Main Street
Hamilton, OH 45013

Mailing address

230 Ludlow St
Hamilton, OH 45011-2903
Phone (513) 645-5447

Other identifiers 1

IdentifierTypeStateIssuer
2081090OtherPK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200902003333 OH Part B Supplier - Mass Immunization (Roster Biller Only) 4284994062 2 other NPIs on this enrollment
Practice locations: Hamilton, OH

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

PO Pox 645537
Cincinnati, OH 45264

Practitioners & affiliated clinicians

Practitioners 2

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": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1013190099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 LUDLOW ST",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450112903",
            "telephone_number": "513-645-5447",
            "fax_number": "800-682-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 MAIN STREET",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "45013",
            "telephone_number": "513-645-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY FIRST PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2023-06-02",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO,AO",
        "authorized_official_telephone_number": "513-785-4054"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "RTP021761700",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OH",
            "license": "RTP021761700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2081090",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.