NPIMap

Organization Active NPI

Health Quest Compounding Pharmacy Inc

  • Pharmacy
  • Middlefield, OH
National Provider Identifier
1144297342
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
HEALTH QUEST COMPOUNDING PHARMACY INC
Practice address
14895 N State Ave
Unit D PO
Middlefield, OH 44062
Phone
(440) 632-0111
Fax
(440) 632-0133
NPI assigned
Mar 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ronald James Witlicki, RPH
Title
President
Phone
(440) 632-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X OH Primary

Addresses

Primary practice location

14895 N State Ave
Unit D PO
Middlefield, OH 44062

Mailing address

14895 N State Ave
Unit D PO Box 336
Middlefield, OH 44062
Phone (440) 632-0111

Other identifiers 2

IdentifierTypeStateIssuer
3671078OtherNABP
2365113MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
STM Mail Order Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14895 N State Ave
Unit D
Middlefield, OH 44062
Phone (440) 632-0111

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144297342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14895 N STATE AVE",
            "address_2": "UNIT D PO BOX 336",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "44062",
            "telephone_number": "440-632-0111",
            "fax_number": "440-632-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14895 N STATE AVE",
            "address_2": "UNIT D PO",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "44062",
            "telephone_number": "440-632-0111",
            "fax_number": "440-632-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH QUEST COMPOUNDING PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WITLICKI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-632-0111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3671078",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2365113",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlefield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.