Organization Active NPI

K-C Health Services Inc

Doing business as Brewster Family Pharmacy

  • Community/Retail Pharmacy
  • Brewster, OH
National Provider Identifier
1083717102
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020831200 Issued in OH
Legal business name
K-C HEALTH SERVICES INC
Doing business as
Brewster Family Pharmacy
Practice address
360 Wabash Ave N
Brewster, OH 44613-1042
Phone
(330) 767-3436
Fax
(330) 767-3090
NPI assigned
Sep 6, 2006
Last updated
Mar 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Authorized official

Name
Charles Cather, RPH MBA
Title
Owner
Phone
(330) 899-0406

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 020831200 OH Primary

Addresses

Primary practice location

360 Wabash Ave N
Brewster, OH 44613-1042

Mailing address

360 Wabash Ave N
Ste a
Brewster, OH 44613-1042
Phone (330) 767-3436

Other identifiers 1

IdentifierTypeStateIssuer
2073721OtherPK

Other names 1

  • BREWSTER FAMILY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930078074 OH DME Supplier - Pharmacy 8921000464 Practice locations: Brewster, OH
O20231024002390 OH Part B Supplier - Pharmacy 8921000464 Practice locations: Brewster, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2270915Brewster Family Pharmacy360 Wabash Ave N, Brewster, OH 44613Certificate of waiverOct 23, 2026

National Provider Directory

National Provider Directory

Locations

360 Wabash Ave N
Ste A
Brewster, OH 44613

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1083717102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 WABASH AVE N",
            "address_2": "STE A",
            "city": "BREWSTER",
            "state": "OH",
            "postal_code": "446131042",
            "telephone_number": "330-767-3436",
            "fax_number": "330-767-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 WABASH AVE N",
            "city": "BREWSTER",
            "state": "OH",
            "postal_code": "446131042",
            "telephone_number": "330-767-3436",
            "fax_number": "330-767-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K-C HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "CATHER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-899-0406",
        "authorized_official_credential": "RPH MBA"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "020831200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2073721",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BREWSTER FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brewster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.