Organization Active NPI

Medicine Store

  • Pharmacy
  • Hillsboro, OH
National Provider Identifier
1093717043
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0555957MedicaidOH
3642382OtherNCPDP

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.