Organization Active NPI

Pharmaceutical Synergy Inc

  • Community/Retail Pharmacy
  • Marysville, OH
National Provider Identifier
1104981521
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RTP.021015150-03 Issued in OH
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

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
David Burke, RPH AND MBANPI 1902932882
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2019621AMedicaidOH
2074817OtherPK

Other names 1

  • DAVES PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.