Active NPI
Pharmacy Counter, LLC
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
National Provider Identifier
1205166154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PHARMACY COUNTER, LLC
- Practice address
- 1515 S Byrne Rd
Suite 119
Toledo, OH 43614-3458 - Phone
- (419) 382-3475
- Fax
- (419) 385-0706
- NPI assigned
- Dec 28, 2009
- Organization subpart
- Yes
- Parent organization
- PROMEDICA PHYSICIANS GROUP, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Missy Cross
- Title
- General Manager
- Phone
- (419) 473-1493
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1515 S Byrne Rd
Suite 119
Toledo, OH 43614-3458
Mailing address
2655 W Central Ave
Toledo, OH 43606-3550
Phone (419) 473-1493
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3099098 | Medicaid | OH |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1013173129
Member Of
Locations
1515 S Byrne Rd
Ste 119
Toledo, OH 43614
Phone (419) 382-3475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523491200000",
"number": "1205166154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2655 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063550",
"telephone_number": "419-473-1493",
"fax_number": "419-474-7137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 S BYRNE RD",
"address_2": "SUITE 119",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436143458",
"telephone_number": "419-382-3475",
"fax_number": "419-385-0706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMACY COUNTER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PROMEDICA PHYSICIANS GROUP, INC.",
"enumeration_date": "2009-12-28",
"last_updated": "2018-04-12",
"status": "A",
"authorized_official_last_name": "CROSS",
"authorized_official_first_name": "MISSY",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "419-473-1493",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3099098",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.