Third Street Community Clinic Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

THIRD STREET COMMUNITY CLINIC INC

Practice address

2458 Stetzer Rd RM 193
Bucyrus, OH 44820-2066

Phone

(419) 834-8891

Fax

(419) 730-3896

NPI assigned

Sep 22, 2026

Last updated

Sep 22, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

THIRD STREET COMMUNITY CLINIC INCAs reported in NPPES

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

Authorized official

Name

Jason BilyjNPI 1659521185

Title

Pharmacy Director

Phone

(419) 522-6191

Specialties & licenses 5

Addresses

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.

• Jason Ryan Bilyj, PHARM.D. R.PH

  • Pharmacist
  • Mansfield, OH
  • NPI 1659521185
  Authorized official Same address or phone

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1114839339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 PARK AVE W STE 2",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449062719",
            "telephone_number": "419-526-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2458 STETZER RD RM 193",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202066",
            "telephone_number": "419-834-8891",
            "fax_number": "419-730-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD STREET COMMUNITY CLINIC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THIRD STREET COMMUNITY CLINIC INC",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "BILYJ",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "419-522-6191"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianna Lee Sumrall, SWA
• Brittney Taska, LSW
• John Edward Tatro, LISW
• Amanda C Teeters, PHARMD
• The Kroger Co (Kroger Pharmacy)
• Third Street Community Clinic Inc (Community Counseling & Wellness Centers-Bucyrus)
• Third Street Community Clinic Inc (Bucyrus Health and Wellness Center)
• Third Street Community Clinic, Inc (Community Counseling & Wellness Centers- Bucyrus)
• Third Street Community Clinic, Inc (Community Counseling & Wellness Centers-Bucyrus)
• Third Street Community Clinic, Inc (Community Counseling & Wellness Centers-Bucyrus)

• Community/Retail Pharmacy in Bucyrus, OH
• Providers in Bucyrus, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.