Organization Active NPI

Swiss Village Pharmacy LLC

  • Community/Retail Pharmacy
  • Sugarcreek, OH
National Provider Identifier
1134586829
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RTP.022592650-03 Issued in OH
Legal business name
SWISS VILLAGE PHARMACY LLC
Practice address
309 S Broadway St
Sugarcreek, OH 44681-9381
Phone
(330) 852-6033
Fax
(330) 852-6207
NPI assigned
Jan 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Randall Shell
Title
RPH
Phone
(330) 204-5233

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X RTP.022592650-03 OH Primary

Addresses

Primary practice location

309 S Broadway St
Sugarcreek, OH 44681-9381

Mailing address

309 S Broadway St
Sugarcreek, OH 44681-9381
Phone (330) 852-6033

Other identifiers 1

IdentifierTypeStateIssuer
2158953OtherPK

Other names 2

  • Swiss Village Pharmacy, LLC Doing business as
  • swiss village pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161207000851 OH Part B Supplier - Pharmacy 8022398122 Practice locations: Sugarcreek, OH

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
36D2333914Swiss Village Pharmacy309 South Broadway St, Sugarcreek, OH 44681Certificate of waiverNov 12, 2027

National Provider Directory

National Provider Directory

Locations

309 S Broadway St
Sugarcreek, OH 44681
Phone (330) 852-6033

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": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1134586829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S BROADWAY ST",
            "city": "SUGARCREEK",
            "state": "OH",
            "postal_code": "446819381",
            "telephone_number": "330-852-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S BROADWAY ST",
            "city": "SUGARCREEK",
            "state": "OH",
            "postal_code": "446819381",
            "telephone_number": "330-852-6033",
            "fax_number": "330-852-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWISS VILLAGE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "SHELL",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "330-204-5233"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "RTP.022592650-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158953",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swiss Village Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "swiss village pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugarcreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.