Active NPI
Skilled Care Pharmacy LLC
- Long Term Care Pharmacy
- Mason, OH
National Provider Identifier
1063410504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 022280050
- 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, 2016
- Organization subpart
- Yes
- Parent organization
- SKILLED CARE PHARMACY LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0465205 | Medicaid | OH | |
| 90272303 | Medicaid | KY | |
| 3638155 | Other | NABP | |
| 7100178190 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| St Leonard | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Feb 1, 2024 Apr 10, 2025 |
| Richter Healthcare Consultants | 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.
-
- Nursing Facility/Intermediate Care Facility
- Centerville, OH
- NPI 1851387047
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Villa Hills, KY
- NPI 1043215296
Adp of the SNF, Operational/Managerial Control
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.
-
dba Skilled Care Medical
- Durable Medical Equipment & Medical Supplies
- Mason, OH
- NPI 1437324522
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.