Active NPI
Hart Pharmacy, Inc.
- Pharmacy
- Cincinnati, OH
National Provider Identifier
1053467621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- HART PHARMACY, INC.
- Practice address
- 4861 Glenway Ave
Cincinnati, OH 45238-4456 - Phone
- (513) 471-1605
- Fax
- (513) 471-4716
- NPI assigned
- Jan 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mimi Elizabeth Hart, R.PH.
- Title
- President
- Phone
- (513) 471-1605
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | OH | Primary |
Addresses
Primary practice location
4861 Glenway Ave
Cincinnati, OH 45238-4456
Mailing address
4861 Glenway Ave
Cincinnati, OH 45238-4456
Phone (513) 471-1605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0108501 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200910003336 | OH | Part B Supplier - Independent Clinical Laboratory | 8123446960 | Practice locations: Cincinnati, OH |
| O20220113001386 | OH | Part B Supplier - Pharmacy | 8123446960 | Practice locations: Cincinnati, OH |
National Provider Directory
National Provider Directory- Tax ID family
- Hart Pharmacy Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Cincinnati, OH
- NPI 1457049306
-
- Durable Medical Equipment & Medical Supplies
- Cincinnati, OH
- NPI 1689710733
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Cincinnati, OH
- NPI 1376161968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053467621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4861 GLENWAY AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452384456",
"telephone_number": "513-471-1605",
"fax_number": "513-471-4716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4861 GLENWAY AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452384456",
"telephone_number": "513-471-1605",
"fax_number": "513-471-4716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HART PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HART",
"authorized_official_first_name": "MIMI",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "513-471-1605",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0108501",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}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 Aug 22, 2020; 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.