NPIMap

Organization Active NPI

Dayton Mall Foods LLC

  • Community/Retail Pharmacy
  • Miamisburg, OH
National Provider Identifier
1053487694
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RTP020941000 Issued in OH
Legal business name
DAYTON MALL FOODS LLC
Practice address
8245 Springboro Pike
Miamisburg, OH 45342-6103
Phone
(937) 434-5778
Fax
(937) 434-0545
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Mike Lofino
Title
President
Phone
(937) 431-1662

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X RTP020941000 OH Primary

Addresses

Primary practice location

8245 Springboro Pike
Miamisburg, OH 45342-6103

Mailing address

8245 Springboro Pike
Miamisburg, OH 45342-6103
Phone (937) 439-0452

Other identifiers 2

IdentifierTypeStateIssuer
0271147MedicaidOH
3662459OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • CUB PHARMACY 609 Doing business as

National Provider Directory

National Provider Directory

Locations

8245 Springboro Pike
Miamisburg, OH 45342
Phone (937) 434-5778

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1053487694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8245 SPRINGBORO PIKE",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426103",
            "telephone_number": "937-439-0452",
            "fax_number": "937-434-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 SPRINGBORO PIKE",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426103",
            "telephone_number": "937-434-5778",
            "fax_number": "937-434-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON MALL FOODS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "LOFINO",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-431-1662"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "RTP020941000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0271147",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3662459",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CUB PHARMACY 609",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miamisburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.