NPIMap

Organization Active NPI

Southern Ohio Medical Center

Doing business as SOMC Ironton Pharmacy

  • Community/Retail Pharmacy
  • Ironton, OH
National Provider Identifier
1194557090
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SOUTHERN OHIO MEDICAL CENTER
Doing business as
SOMC Ironton Pharmacy
Practice address
715 Park Ave
Ironton, OH 45638-1544
Phone
(740) 356-6853
Fax
(740) 356-8514
NPI assigned
Aug 19, 2024
Last updated
Aug 19, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHERN OHIO MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Dr. Herbert Wayne Butterbaugh, PHARMDNPI 1093230484
Title
Community Pharmacy Manager
Phone
(740) 356-6853

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

715 Park Ave
Ironton, OH 45638-1544

Mailing address

1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-6853

Other names 1

  • SOMC Ironton Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
South Shore Family Prac17 organizations share this tax ID, including this one
Part of
South Shore Family Prac

Other organizations with this tax ID 16

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

View all 16

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

715 Park Ave
Ironton, OH 45638
Phone (740) 532-5550

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": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1194557090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 27TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622640",
            "telephone_number": "740-356-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 PARK AVE",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381544",
            "telephone_number": "740-356-6853",
            "fax_number": "740-356-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OHIO MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN OHIO MEDICAL CENTER",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "BUTTERBAUGH",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "COMMUNITY PHARMACY MANAGER",
        "authorized_official_telephone_number": "740-356-6853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOMC Ironton Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ironton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.