NPIMap

Organization Active NPI

The Union Hospital Association

Doing business as Union Hospital Professional Pharmacy

  • Community/Retail Pharmacy
  • Dover, OH
National Provider Identifier
1023316700
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020030450-03 Issued in OH
Legal business name
THE UNION HOSPITAL ASSOCIATION
Doing business as
Union Hospital Professional Pharmacy
Practice address
659 Boulevard St
Dover, OH 44622-2026
Phone
(330) 343-3311
Fax
(330) 602-0743
NPI assigned
Mar 4, 2011
Last updated
Feb 28, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
UNION HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Timothy L. Longville
Title
Chief Accounting Officer/Controller
Phone
(216) 636-7416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 020030450-03 OH Primary

Addresses

Primary practice location

659 Boulevard St
Dover, OH 44622-2026

Mailing address

659 Boulevard St
Dover, OH 44622-2026
Phone (330) 343-3311

Other names 1

  • Union Hospital Professional Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130426000414 OH Part B Supplier - Mass Immunization (Roster Biller Only) 0648177725 Practice locations: Dover, OH

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Union Hospital Associat

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

300 Medical Park Dr
Ste 201
Dover, OH 44622
Phone (330) 343-6909

301 W 3rd St
Dover, OH 44622
Phone (330) 343-6909

340 Oxford St
#L130
Dover, OH 44622
Phone (330) 364-9966

Practitioners & affiliated clinicians

Practitioners 162

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 162

NPI Registry JSON

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1023316700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 BOULEVARD ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222026",
            "telephone_number": "330-343-3311",
            "fax_number": "330-602-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 BOULEVARD ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222026",
            "telephone_number": "330-343-3311",
            "fax_number": "330-602-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE UNION HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNION HOSPITAL ASSOCIATION",
        "enumeration_date": "2011-03-04",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "LONGVILLE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER/CONTROLLER",
        "authorized_official_telephone_number": "216-636-7416"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "020030450-03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Hospital Professional Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Union Hospital Professional Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.