Active NPI
Pharmaceutical Synergy Inc
- Community/Retail Pharmacy
- Marysville, OH
National Provider Identifier
1104981521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- RTP.021015150-03
- Legal business name
- PHARMACEUTICAL SYNERGY INC
- Practice address
- 411 W 5TH St
Marysville, OH 43040-1019 - Phone
- (937) 644-1322
- Fax
- (937) 644-2360
- NPI assigned
- Dec 26, 2006
- 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
- David Burke, RPH AND MBA
- Title
- Owner
- Phone
- (937) 644-1322
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | RTP.021015150-03 | OH | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
411 W 5TH St
Marysville, OH 43040-1019
Mailing address
411 W 5TH St
Marysville, OH 43040-1019
Phone (937) 644-1322
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2019621A | Medicaid | OH | |
| 2074817 | Other | PK |
Other names 1
- DAVES PHARMACY
National Provider Directory
National Provider DirectoryLocations
411 W 5th St
Marysville, OH 43040
Phone (937) 644-1322
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Marysville, OH
- NPI 1902932882
-
- Pharmacist
- Marysville, OH
- NPI 1669703476
-
- Pharmacist
- Marysville, OH
- NPI 1124739891
-
- Pharmacist
- Marysville, OH
- NPI 1689861304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487548800000",
"number": "1104981521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 W 5TH ST",
"city": "MARYSVILLE",
"state": "OH",
"postal_code": "430401019",
"telephone_number": "937-644-1322",
"fax_number": "937-644-2360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 W 5TH ST",
"city": "MARYSVILLE",
"state": "OH",
"postal_code": "430401019",
"telephone_number": "937-644-1322",
"fax_number": "937-644-2360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMACEUTICAL SYNERGY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-26",
"last_updated": "2017-02-20",
"status": "A",
"authorized_official_last_name": "BURKE",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "937-644-1322",
"authorized_official_credential": "RPH AND 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": "RTP.021015150-03",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2019621A",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2074817",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DAVES PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marysville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.