Active NPI
K-C Health Services Inc
Doing business as Brewster Family Pharmacy
- Community/Retail Pharmacy
- Brewster, OH
National Provider Identifier
1083717102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 020831200
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2073721 | Other | PK |
Other names 1
- BREWSTER FAMILY PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2270915 | Brewster Family Pharmacy | Certificate of waiver | Oct 23, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.