NPIMap

Organization Active NPI

Fidelity Health Care Inc

  • Community/Retail Pharmacy
  • Moraine, OH
National Provider Identifier
1174988869
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FIDELITY HEALTH CARE INC
Practice address
3170 Kettering Blvd BLDG B
Moraine, OH 45439-1924
Phone
(937) 208-7966
Fax
(937) 208-7969
NPI assigned
Dec 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Authorized official

Name
Eric Napier
Title
Director
Phone
(937) 208-6534

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X CLPH022566500-03 OH
Community/Retail Pharmacy 3336C0003X Primary
Home Infusion Therapy Pharmacy 3336H0001X

Addresses

Primary practice location

3170 Kettering Blvd BLDG B
Moraine, OH 45439-1924

Mailing address

3170 Kettering Blvd BLDG B
Moraine, OH 45439-1924
Phone (937) 208-6400

Other identifiers 1

IdentifierTypeStateIssuer
2156142OtherPK

Other names 1

  • Premier Health Pharmacy-Fidelity Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Premier Health Pharmacy-MVHN10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1174988869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-208-6400",
            "fax_number": "937-641-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-208-7966",
            "fax_number": "937-208-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "NAPIER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "937-208-6534"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "OH",
            "license": "CLPH022566500-03",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2156142",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Health Pharmacy-Fidelity",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Health Pharmacy-Fidelity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moraine, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.