Organization Active NPI

Fosters Pharmacy, Inc.

  • Long Term Care Pharmacy
  • Mount Vernon, OH
National Provider Identifier
1164160271
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Authorized official

Name
Heidi Lynn HatfieldNPI 1497915284
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0471127MedicaidOH

Other names 1

  • Foster's Pharmacy LTC Doing business as

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
36D0949259Foster'S Pharmacy207 West High Street, Mount Vernon, OH 43050Certificate of waiverJul 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.

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.

Verify at the official NPI Registry.