NPIMap

Organization Active NPI

Cardinal Health 414, LLC

  • Nuclear Pharmacy
  • Holland, OH
National Provider Identifier
1073920641
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear PharmacyTaxonomy code 3336N0007X
License
020231050 Issued in OH
Legal business name
CARDINAL HEALTH 414, LLC
Doing business as
Cardinal Health 414, LLC
Practice address
6156 Trust Dr Ste B
Holland, OH 43528-7860
Phone
(419) 867-1077
NPI assigned
Jul 16, 2014
Last updated
Jul 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Authorized official

Name
Paul Gotti
Title
VP Operations
Phone
(614) 757-5114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Pharmacy 3336N0007X 020231050 OH Primary

Addresses

Primary practice location

6156 Trust Dr Ste B
Holland, OH 43528-7860

Mailing address

7000 Cardinal PL
Dublin, OH 43017-1091
Phone (614) 757-7570

Other identifiers 1

IdentifierTypeStateIssuer
2146685OtherPK

Other names 1

  • Cardinal Health 414, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cardinal Health 414 LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

6156 Trust Dr
Ste B
Holland, OH 43528
Phone (419) 867-1077

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1073920641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 CARDINAL PL",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171091",
            "telephone_number": "614-757-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6156 TRUST DR STE B",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435287860",
            "telephone_number": "419-867-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL HEALTH 414, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "GOTTI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "614-757-5114"
    },
    "taxonomies": [
        {
            "code": "3336N0007X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Nuclear Pharmacy",
            "state": "OH",
            "license": "020231050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146685",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardinal Health 414, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.