Organization Active NPI

O'Reilly Family Pharmacy LLC

Doing business as O'Reilly Family Pharmacy

  • Community/Retail Pharmacy
  • Worthington, OH
National Provider Identifier
1184168080
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022668050 Issued in OH
Legal business name
O'REILLY FAMILY PHARMACY LLC
Doing business as
O'Reilly Family Pharmacy
Practice address
1020 High St
Worthington, OH 43085-4014
Phone
(614) 865-2577
NPI assigned
Dec 12, 2016
Last updated
Dec 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Aimee Justine O'Reilly, PHARMDNPI 1073861365
Title
Owner
Phone
(330) 540-8969

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 022668050 OH Primary

Addresses

Primary practice location

1020 High St
Worthington, OH 43085-4014

Mailing address

1020 High St
Worthington, OH 43085-4014
Phone (614) 865-2577

Other names 1

  • O'Reilly Family Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171017003768 OH Part B Supplier - Mass Immunization (Roster Biller Only) 6204104821 Practice locations: Worthington, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1184168080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 HIGH ST",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854014",
            "telephone_number": "614-865-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 HIGH ST",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854014",
            "telephone_number": "614-865-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'REILLY FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "O'REILLY",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_middle_name": "JUSTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-540-8969",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "022668050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "O'Reilly Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.