Organization Active NPI

Thorncherry Pharmacy LTC

  • Long Term Care Pharmacy
  • Massillon, OH
National Provider Identifier
1114705043
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
THORNCHERRY PHARMACY LTC
Practice address
1607 Amherst Rd NE
Massillon, OH 44646-4183
Phone
(330) 413-1509
Fax
(330) 809-0188
NPI assigned
Sep 21, 2023
Organization subpart
Yes
Parent organization
THORNCHERRY RX, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Adam WilliamsNPI 1427651231
Title
President
Phone
(330) 413-1509

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1607 Amherst Rd NE
Massillon, OH 44646-4183

Mailing address

1607 Amherst Rd NE
Massillon, OH 44646-4183
Phone (330) 413-1509

Other names 1

  • ThornCherry Doing business as

National Provider Directory

National Provider Directory
Part of
Thorncherry RX LLC

Locations

1607 Amherst Rd NE
Massillon, OH 44646
Phone (330) 413-1509

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1114705043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 AMHERST RD NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446464183",
            "telephone_number": "330-413-1509",
            "fax_number": "330-809-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 AMHERST RD NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446464183",
            "telephone_number": "330-413-1509",
            "fax_number": "330-809-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORNCHERRY PHARMACY LTC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THORNCHERRY RX, LLC",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-413-1509"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ThornCherry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.