Active NPI
Mercy Health - St Anne Hospital LLC
- Pharmacy
- Perrysburg, OH
National Provider Identifier
1194495150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- MERCY HEALTH - ST ANNE HOSPITAL LLC
- Practice address
- 12623 Eckel Junction Rd
Perrysburg, OH 43551-1304 - Phone
- (567) 368-1434
- NPI assigned
- Sep 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly M Ralston
- Title
- System Director Payor Admin
- Phone
- (419) 996-5119
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary | ||
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
12623 Eckel Junction Rd
Perrysburg, OH 43551-1304
Mailing address
PO Box 639922
Cincinnati, OH 45263-9922
Other names 1
- Mercy Health Perrysburg Outpatient Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Northern Lights Medical
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Toledo, OH
- NPI 1053706903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642032000000",
"number": "1194495150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639922",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452639922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12623 ECKEL JUNCTION RD",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435511304",
"telephone_number": "567-368-1434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY HEALTH - ST ANNE HOSPITAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-20",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A",
"authorized_official_last_name": "RALSTON",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SYSTEM DIRECTOR PAYOR ADMIN",
"authorized_official_telephone_number": "419-996-5119"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mercy Health Perrysburg Outpatient Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mercy Health Perrysburg Outpatient Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Perrysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.