Active NPI
Medicine Store
- Pharmacy
- Hillsboro, OH
National Provider Identifier
1093717043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- MEDICINE STORE
- Practice address
- 231 N High St
Hillsboro, OH 45133-1128 - Phone
- (937) 393-1996
- NPI assigned
- Jun 2, 2005
- 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
- Mr. Jeffrey Guy King, R.PH.
- Title
- Pharmacist/Owner
- Phone
- (937) 393-1996
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | OH | Primary |
Addresses
Primary practice location
231 N High St
Hillsboro, OH 45133-1128
Mailing address
231 N High St
Hillsboro, OH 45133-1128
Phone (937) 393-1996
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0555957 | Medicaid | OH | |
| 3642382 | Other | NCPDP |
National Provider Directory
National Provider DirectoryLocations
231 N High St
Hillsboro, OH 45133
Phone (937) 393-1996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1093717043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 N HIGH ST",
"city": "HILLSBORO",
"state": "OH",
"postal_code": "451331128",
"telephone_number": "937-393-1996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 N HIGH ST",
"city": "HILLSBORO",
"state": "OH",
"postal_code": "451331128",
"telephone_number": "937-393-1996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICINE STORE",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "GUY",
"authorized_official_title_or_position": "PHARMACIST/OWNER",
"authorized_official_telephone_number": "937-393-1996",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0555957",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3642382",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.