Organization Active NPI

Shrivers Pharmacy Eldercare Solutions, Inc

  • Long Term Care Pharmacy
  • Canal Fulton, OH
National Provider Identifier
1114962701
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SHRIVERS PHARMACY ELDERCARE SOLUTIONS, INC
Practice address
10870 Portage St NW
Canal Fulton, OH 44614-8817
Phone
(330) 854-6800
Fax
(330) 854-6832
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Jason Robert Gavin, RPH
Title
Director of Pharmacy
Phone
(330) 854-6800

Specialties & licenses 1

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

Addresses

Primary practice location

10870 Portage St NW
Canal Fulton, OH 44614-8817

Mailing address

10870 Portage St NW
Canal Fulton, OH 44614-8817
Phone (330) 854-6800

Other names 1

  • Eldercare Solutions Shrivers Pharmacy Doing business as

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1114962701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10870 PORTAGE ST NW",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446148817",
            "telephone_number": "330-854-6800",
            "fax_number": "330-854-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10870 PORTAGE ST NW",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446148817",
            "telephone_number": "330-854-6800",
            "fax_number": "330-854-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRIVERS PHARMACY ELDERCARE SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "330-854-6800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eldercare Solutions Shrivers Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canal Fulton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.