Organization Active NPI

Intra-National Pharmacy LLC

  • Community/Retail Pharmacy
  • Blacklick, OH
National Provider Identifier
1083345235
Registry record updated Feb 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
INTRA-NATIONAL PHARMACY LLC
Practice address
958 N Waggoner Rd
Blacklick, OH 43004-7911
Phone
(682) 444-9524
NPI assigned
Jun 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2023

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

Authorized official

Name
Mr. Tek Nath Neopaney, PHARM DNPI 1699258491
Title
Managing Officer
Phone
(682) 444-9524

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

958 N Waggoner Rd
Blacklick, OH 43004-7911

Mailing address

958 N Waggoner Rd
Blacklick, OH 43004-7911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230412003097 OH Part B Supplier - Pharmacy 0345615910 Practice locations: Blacklick, OH

National Provider Directory

National Provider Directory

Locations

958 N Waggoner Rd
Blacklick, OH 43004
Phone (614) 369-6539

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676160000000",
    "number": "1083345235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 N WAGGONER RD",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430047911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 N WAGGONER RD",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430047911",
            "telephone_number": "682-444-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRA-NATIONAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-20",
        "last_updated": "2023-02-12",
        "certification_date": "2023-02-12",
        "status": "A",
        "authorized_official_last_name": "NEOPANEY",
        "authorized_official_first_name": "TEK",
        "authorized_official_middle_name": "NATH",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "682-444-9524",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacklick, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.