Accudose Pharmacy
Organization Active NPI Long Term Care Pharmacy · Boardman, OH
NPI 1164883294 · NPPES record last updated Apr 21, 2017
Key facts
- NPI
- 1164883294
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- License
- PMY.022582250-03 (OH)
- Legal business name
- ACCUDOSE PHARMACY
- Practice address
- 685 Boardman Canfield Rd Ste 3
Boardman, OH 44512-4711 - Phone
- (888) 222-6185
- Fax
- (888) 222-3045
- NPI assigned
- Mar 17, 2016
- Organization subpart
- No
Authorized official
- Name
- Mark Franceschelli
- Title
- President
- Phone
- (440) 915-5632
Practitioners 2
-
Randy Coates, RPH
-
David Noday, R.PH.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Accudose Pharmacy |
Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order) | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181213001171 | OH | Part B Supplier - Pharmacy | 4789929134 | Practice locations: Boardman, OH |
National Provider Directory
Locations
685 Boardman Canfield Rd
Ste 3
Youngstown, OH 44512
Phone (888) 222-6185
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Long Term Care Pharmacy | 3336L0003X | PMY.022582250-03 | OH | Yes |
Addresses
Primary practice location
685 Boardman Canfield Rd Ste 3
Boardman, OH 44512-4711
Mailing address
3728 Braemar Dr
Richfield, OH 44286-9035
Phone (888) 222-6185
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0165019 | Medicaid | OH | |
| 2158792 | Other | PK |
Other names
- Accudose Pharmacy
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All providers in Boardman, OH · Long Term Care Pharmacy in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.