Organization Active NPI

Akron Pharmacy

Doing business as MAC Pharmacy

  • Pharmacy
  • Akron, OH
National Provider Identifier
1093227274
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
AKRON PHARMACY
Doing business as
MAC Pharmacy
Practice address
1 Park West Blvd Ste 140
Akron, OH 44320-4230
Phone
(330) 556-4515
Fax
(330) 556-4516
NPI assigned
Oct 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
Sherif Mankaryous
Title
Owner/Director
Phone
(330) 375-5040

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X PMY02285285003 OH
Compounding Pharmacy 3336C0004X
Mail Order Pharmacy 3336M0002X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

1 Park West Blvd Ste 140
Akron, OH 44320-4230

Mailing address

879 E Exchange St
Akron, OH 44306-1127
Phone (330) 375-5040

Other identifiers 2

IdentifierTypeStateIssuer
0259448MedicaidOH
2175166OtherPK

Other names 1

  • MAC Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1 Park West Blvd
Ste 140
Akron, OH 44320
Phone (330) 556-4515

NPI Registry JSON

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

{
    "created_epoch": "1509148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1093227274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 E EXCHANGE ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443061127",
            "telephone_number": "330-375-5040",
            "fax_number": "330-375-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARK WEST BLVD STE 140",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204230",
            "telephone_number": "330-556-4515",
            "fax_number": "330-556-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKRON PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-28",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "MANKARYOUS",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "330-375-5040"
    },
    "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": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "PMY02285285003",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0259448",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175166",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.