Organization Active NPI

AMC Ohio LLC

Doing business as Equitas Health Pharmacy

  • Community/Retail Pharmacy
  • Columbus, OH
National Provider Identifier
1114287547
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02260880003 Issued in OH
Legal business name
AMC OHIO LLC
Doing business as
Equitas Health Pharmacy
Practice address
1033 N High St
Columbus, OH 43201-2409
Phone
(614) 340-6776
Fax
(614) 340-6774
NPI assigned
May 18, 2012
Last updated
Jan 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2025

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

Authorized official

Name
Thomas SaltsmanNPI 1972028371
Title
Chief Pharmacy Officer
Phone
(614) 975-8564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 02260880003 OH Primary

Addresses

Primary practice location

1033 N High St
Columbus, OH 43201-2409

Mailing address

1033 N High St
Columbus, OH 43201-2409
Phone (614) 340-6776

Other identifiers 2

IdentifierTypeStateIssuer
2136943OtherPK
0073711MedicaidOH

Other names 1

  • Equitas Health Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130225000243 OH DME Supplier - Pharmacy 7214182260 Practice locations: Columbus, OH
O20141029001335 OH Part B Supplier - Mass Immunization (Roster Biller Only) 7214182260 5 other NPIs on this enrollment
Practice locations: Cincinnati, OH; Columbus, OH; Dayton, OH; Toledo, OH; Akron, OH

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2157917AMC Ohio LLC Dba Equitas1033 N High Street, Columbus, OH 43201Certificate of waiverNov 15, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Equitas Health Pharmacy1033 N High St, Columbus, OH 43201-2409(614) 340-6776 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Nov 5, 2012

National Provider Directory

National Provider Directory
Tax ID family
AMC Ohio LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737849600000",
    "number": "1114287547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432012409",
            "telephone_number": "614-340-6776",
            "fax_number": "614-340-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432012409",
            "telephone_number": "614-340-6776",
            "fax_number": "614-340-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMC OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "SALTSMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "614-975-8564"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02260880003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136943",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073711",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Equitas Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.