NPIMap

Organization Active NPI

Ohio Veterans Home Pharmacy-Georgetown

  • Long Term Care Pharmacy
  • Sardinia, OH
National Provider Identifier
1154517878
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
021416750 Issued in OH
Legal business name
OHIO VETERANS HOME PHARMACY-GEORGETOWN
Doing business as
Ohio Veterans Home Pharmacy-Georgetown
Practice address
7110 Bachman Rd
Sardinia, OH 45171-9456
Phone
(800) 284-8741
Fax
(937) 446-2600
NPI assigned
Sep 17, 2007
Last updated
Jan 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Randall Harris, RPHNPI 1144368820
Title
Pharmacy Operations Manager
Phone
(419) 625-2454

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Institutional Pharmacy 3336I0012X
Long Term Care Pharmacy 3336L0003X 021416750 OH Primary

Addresses

Primary practice location

7110 Bachman Rd
Sardinia, OH 45171-9456

Mailing address

7110 Bachman Rd
Sardinia, OH 45171-9456
Phone (800) 284-8741

Other identifiers 1

IdentifierTypeStateIssuer
2081057OtherPK

Other names 1

  • OHIO VETERANS HOME PHARMACY-GEORGETOWN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Appalachian Psych Healt39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

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

View all 38

Practitioners & affiliated clinicians

Practitioners 4

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": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1154517878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 BACHMAN RD",
            "city": "SARDINIA",
            "state": "OH",
            "postal_code": "451719456",
            "telephone_number": "800-284-8741",
            "fax_number": "937-446-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 BACHMAN RD",
            "city": "SARDINIA",
            "state": "OH",
            "postal_code": "451719456",
            "telephone_number": "800-284-8741",
            "fax_number": "937-446-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO VETERANS HOME PHARMACY-GEORGETOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "PHARMACY OPERATIONS MANAGER",
        "authorized_official_telephone_number": "419-625-2454",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OH",
            "license": "021416750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2081057",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OHIO VETERANS HOME PHARMACY-GEORGETOWN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sardinia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.