NPIMap

Organization Active NPI

City of Cincinnati

Doing business as Northside Health Center Pharmacy

  • Clinic Pharmacy
  • Cincinnati, OH
National Provider Identifier
1063591949
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
020294600 Issued in OH
Legal business name
CITY OF CINCINNATI
Doing business as
Northside Health Center Pharmacy
Practice address
3917 Spring Grove Ave
Cincinnati, OH 45223-3302
Phone
(513) 357-7649
Fax
(513) 357-7651
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Quentin Norman, PHARMD
Title
Pharmacy Director
Phone
(513) 352-3801

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X 020294600 OH Primary

Addresses

Primary practice location

3917 Spring Grove Ave
Cincinnati, OH 45223-3302

Mailing address

3917 Spring Grove Ave
Cincinnati, OH 45223-3302
Phone (513) 357-7649

Other identifiers 2

IdentifierTypeStateIssuer
0511735MedicaidOH
2074382OtherPK

Other names 1

  • NORTHSIDE HEALTH CENTER PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cincinnati Health Dept44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1063591949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 SPRING GROVE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452233302",
            "telephone_number": "513-357-7649",
            "fax_number": "513-357-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 SPRING GROVE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452233302",
            "telephone_number": "513-357-7649",
            "fax_number": "513-357-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CINCINNATI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "QUENTIN",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "513-352-3801",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "OH",
            "license": "020294600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0511735",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2074382",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHSIDE HEALTH CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 14, 2017; 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.