Skilled Care Direct LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RTP.022084300-03 Issued in OH

Legal business name

SKILLED CARE DIRECT LLC

Doing business as

Skilled Care Direct

Practice address

6175 Hi Tek CT
Mason, OH 45040-2603

Phone

(513) 492-5421

Fax

(513) 229-0600

NPI assigned

Feb 14, 2011

Organization subpart

No

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

Authorized official

Name

Larry Galluzzo

Title

President

Phone

(513) 459-7455

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Skilled Care Direct Doing business as

Locations

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1033416854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 HI TEK CT",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402603",
            "telephone_number": "513-492-5421",
            "fax_number": "513-229-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6175 HI TEK CT",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402603",
            "telephone_number": "513-492-5421",
            "fax_number": "513-229-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLED CARE DIRECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "GALLUZZO",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-459-7455"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "RTP.022084300-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128647",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skilled Care Direct",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Mason, OH
• Providers in Mason, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.