NPIMap

Organization Active NPI

Perry Pharmacy Enterprise LLC

  • Community/Retail Pharmacy
  • Camden, OH
National Provider Identifier
1194484493
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PERRY PHARMACY ENTERPRISE LLC
Practice address
75 W Central Ave
Camden, OH 45311-1007
Phone
(937) 452-1263
Fax
(937) 452-3957
NPI assigned
Dec 14, 2021
Organization subpart
Yes
Parent organization
CAMDEN VILLAGE PHARMACYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Katherine Perry, PHARMD
Title
Owner
Phone
(937) 452-1263

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

75 W Central Ave
Camden, OH 45311-1007

Mailing address

75 W Central Ave
Camden, OH 45311-1007
Phone (937) 452-1263

Other identifiers 2

IdentifierTypeStateIssuer
0009702MedicaidOH
0492926MedicaidOH

Other names 1

  • Camden Village Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Camden Village Pharmacy2 organizations share this tax ID, including this one
Part of
Camden Village Pharmacy

Other organizations with this tax ID 1

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

Locations

75 W Central Ave
Camden, OH 45311
Phone (937) 452-1263

Practitioners & affiliated clinicians

Practitioners 5

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": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1194484493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W CENTRAL AVE",
            "city": "CAMDEN",
            "state": "OH",
            "postal_code": "453111007",
            "telephone_number": "937-452-1263",
            "fax_number": "937-452-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W CENTRAL AVE",
            "city": "CAMDEN",
            "state": "OH",
            "postal_code": "453111007",
            "telephone_number": "937-452-1263",
            "fax_number": "937-452-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY PHARMACY ENTERPRISE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAMDEN VILLAGE PHARMACY",
        "enumeration_date": "2021-12-14",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-452-1263",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009702",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0492926",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camden Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camden, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.