Family Med-Mart LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

022659650 Issued in OH

Legal business name

FAMILY MED-MART LLC

Doing business as

Whitehall Pharmacy

Practice address

4770 Indianola Ave Ste 208
Columbus, OH 43214-1876

Phone

(614) 547-7766

Fax

(614) 547-7742

NPI assigned

Sep 28, 2010

Organization subpart

No

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

Authorized official

Name

Yamrote LakewNPI 1902124894

Title

Managing Member/Agent

Phone

(614) 598-3001

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Whitehall Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yamrote Lakew, RPH RN

  • Pharmacist
  • Mount Vernon, OH
  • NPI 1902124894
  NPD Authorized official

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1073822870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 BRYN MAWR DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358915",
            "telephone_number": "614-598-3001",
            "fax_number": "614-547-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 INDIANOLA AVE STE 208",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141876",
            "telephone_number": "614-547-7766",
            "fax_number": "614-547-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MED-MART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "LAKEW",
        "authorized_official_first_name": "YAMROTE",
        "authorized_official_title_or_position": "MANAGING MEMBER/AGENT",
        "authorized_official_telephone_number": "614-598-3001"
    },
    "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": "022659650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127361",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3090542",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitehall Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Columbus, OH
• Providers in Columbus, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.