Active NPI
Fosters Pharmacy, Inc.
- Long Term Care Pharmacy
- Mount Vernon, OH
National Provider Identifier
1164160271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- FOSTERS PHARMACY, INC.
- Practice address
- 207 W High St
Mount Vernon, OH 43050-2427 - Phone
- (740) 392-0911
- Fax
- (740) 392-0960
- NPI assigned
- May 27, 2022
- Organization subpart
- Yes
- Parent organization
- FOSTER'S PHARMACY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heidi Lynn Hatfield
- Title
- Owner
- Phone
- (740) 392-0911
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
207 W High St
Mount Vernon, OH 43050-2427
Mailing address
207 W High St
Mount Vernon, OH 43050-2427
Phone (740) 392-0911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0471127 | Medicaid | OH |
Other names 1
- Foster's Pharmacy LTC
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0949259 | Foster'S Pharmacy | Certificate of waiver | Jul 29, 2028 |
National Provider Directory
National Provider Directory- Part of
- Fosters Pharmacy Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Mount Vernon, OH
- NPI 1497915284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657065600000",
"number": "1164160271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 W HIGH ST",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430502427",
"telephone_number": "740-392-0911",
"fax_number": "740-392-0960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 W HIGH ST",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430502427",
"telephone_number": "740-392-0911",
"fax_number": "740-392-0960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOSTERS PHARMACY, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FOSTER'S PHARMACY INC",
"enumeration_date": "2022-05-27",
"last_updated": "2022-07-06",
"certification_date": "2022-07-06",
"status": "A",
"authorized_official_last_name": "HATFIELD",
"authorized_official_first_name": "HEIDI",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "740-392-0911"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0471127",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Foster's Pharmacy LTC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mount Vernon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.