Neidig Pharmacy Group LLC
Organization Active NPI Long Term Care Pharmacy · Newcomerstown, OH
NPI 1134568504 · NPPES record last updated May 20, 2014
Key facts
- NPI
- 1134568504
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- License
- 022283800 (OH)
- Legal business name
- NEIDIG PHARMACY GROUP LLC
- Practice address
- 415 S River St
Newcomerstown, OH 43832-1443 - Phone
- (740) 492-0191
- Fax
- (740) 492-0275
- NPI assigned
- Jun 19, 2013
- Organization subpart
- No
Authorized official
- Name
- Mr. Kevin H Neidig, RPH
- Title
- President/Ceo
- Phone
- (740) 492-0191
Practitioners 2
-
Kevin H Neidig, RPH
-
Kimberly A Andrews, RPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141105002152 | OH | Part B Supplier - Mass Immunization (Roster Biller Only) | 9931330198 | Practice locations: New Philadelphia, OH |
National Provider Directory
Locations
130 W High Ave
New Philadelphia, OH 44663
Phone (330) 365-1526
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 022283800 | OH | Yes |
Addresses
Primary practice location
415 S River St
Newcomerstown, OH 43832-1443
Mailing address
PO Box 190
New Philadelphia, OH 44663-0190
Phone (740) 492-0191
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0087538 | Medicaid | OH |
Other names
- Medi-Wise Long Term Care Pharmacy
Other providers in Newcomerstown, OH
- Misty Jo Neal
- Neidig Health Care LTD
- Neidig Health Care LTD
- Neidig Health Care LTD
- Neidig Home Services, LTD
- Aaron Lee Neidig
- Jeffrey A Neidig
- Newcomerstown Emergency Rescue Squad Inc
- Newcomerstown Exempted Village School District
- Newcomerstown Progress Corporation
All providers in Newcomerstown, OH · Long Term Care Pharmacy in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.