Organization Active NPI

Skilled Care Pharmacy LLC

  • Long Term Care Pharmacy
  • Mason, OH
National Provider Identifier
1063410504
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
022280050 Issued in OH
Legal business name
SKILLED CARE PHARMACY LLC
Practice address
6175 Hi Tek Court
Mason, OH 45040
Phone
(513) 459-7455
Fax
(513) 459-7969
NPI assigned
Jul 8, 2005
Last updated
Aug 8, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
SKILLED CARE PHARMACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Authorized official

Name
Mr. Francis Lawrence Galluzzo, RPH
Title
President
Phone
(513) 459-7455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 022280050 OH Primary

Addresses

Primary practice location

6175 Hi Tek Court
Mason, OH 45040

Mailing address

6175 Hi Tek CT
Mason, OH 45040-2603
Phone (513) 459-7455

Other identifiers 4

IdentifierTypeStateIssuer
0465205MedicaidOH
90272303MedicaidKY
3638155OtherNABP
7100178190MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201103000543 OH Part B Supplier - Mass Immunization (Roster Biller Only) 5395970818 Practice locations: Mason, OH

National Provider Directory

National Provider Directory
Part of
Skilled Care Pharmacy LLC

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St LeonardCenterville, OH, CCN 365714 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Feb 1, 2024
Apr 10, 2025
Richter Healthcare ConsultantsVilla Hills, KY, CCN 185241 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Feb 1, 2024
Mar 28, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1063410504",
    "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": "513-459-7455",
            "fax_number": "513-459-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6175 HI TEK COURT",
            "city": "MASON",
            "state": "OH",
            "postal_code": "45040",
            "telephone_number": "513-459-7455",
            "fax_number": "513-459-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLED CARE PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SKILLED CARE PHARMACY LLC",
        "enumeration_date": "2005-07-08",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "GALLUZZO",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-459-7455",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OH",
            "license": "022280050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0465205",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90272303",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3638155",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100178190",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.