NPIMap

Organization Active NPI

Backel Corporation

Doing business as Custer Pharmacy

  • Community/Retail Pharmacy
  • Cadiz, OH
National Provider Identifier
1154478105
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02-1249300 Issued in OH
Legal business name
BACKEL CORPORATION
Doing business as
Custer Pharmacy
Practice address
241 South Main St
Cadiz, OH 43907
Phone
(740) 942-2726
Fax
(740) 942-2182
NPI assigned
Jan 4, 2007
Last updated
Apr 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Mr. Jason Alexander Backel, RPHNPI 1164426615
Title
Owner
Phone
(740) 942-2726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 02-1249300 OH Primary

Addresses

Primary practice location

241 South Main St
Cadiz, OH 43907

Mailing address

241 South Main St
Cadiz, OH 43907
Phone (740) 942-2726

Other identifiers 2

IdentifierTypeStateIssuer
6001237000MedicaidWV
2226095MedicaidOH

Other names 1

  • CUSTER PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

122 S Main St
Cadiz, OH 43907
Phone (740) 942-2726

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1154478105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 SOUTH MAIN ST",
            "city": "CADIZ",
            "state": "OH",
            "postal_code": "43907",
            "telephone_number": "740-942-2726",
            "fax_number": "740-942-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 SOUTH MAIN ST",
            "city": "CADIZ",
            "state": "OH",
            "postal_code": "43907",
            "telephone_number": "740-942-2726",
            "fax_number": "740-942-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACKEL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "BACKEL",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-942-2726",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02-1249300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6001237000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2226095",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CUSTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cadiz, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.