NPIMap

Organization Active NPI

Mercy Health-St Ritas Medical Center LLC

Doing business as Mercy Health Lima Outpatient Pharmacy

  • Pharmacy
  • Lima, OH
National Provider Identifier
1205384161
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
RTP.022641200-0 Issued in OH
Legal business name
MERCY HEALTH-ST RITAS MEDICAL CENTER LLC
Doing business as
Mercy Health Lima Outpatient Pharmacy
Practice address
730 W Market St
Lima, OH 45801-4602
Phone
(419) 995-4949
Fax
(419) 996-4979
NPI assigned
Sep 20, 2016
Last updated
Jan 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Tim Rieger
Title
System Director, Retail Pharmacy
Phone
(419) 226-9775

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X RTP.022641200-0 OH Primary
Clinic Pharmacy 3336C0002X NU
Community/Retail Pharmacy 3336C0003X NU
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

730 W Market St
Lima, OH 45801-4602

Mailing address

PO Box 636372
Cincinnati, OH 45263-6372
Phone (419) 995-4949

Other identifiers 1

IdentifierTypeStateIssuer
2164174OtherPK

Other names 1

  • Mercy Health Lima Outpatient Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210615002501 OH Part B Supplier - Mass Immunization (Roster Biller Only) 2769386259 1 other NPI on this enrollment
Practice locations: Lima, OH
O20230414000375 OH DME Supplier - Pharmacy 2769386259 Practice locations: Lima, OH

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Allen County Emergency11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

900 Havemann Rd
Ste B
Celina, OH 45822
Phone (419) 586-0990

300 W Market St
Ste A
Lima, OH 45801
Phone (419) 226-9064

658 W Market St
Lima, OH 45801
Phone (419) 222-1527

750 W High St
Ste 320
Lima, OH 45801
Phone (419) 226-4300

770 W High St
Ste 250
Lima, OH 45801
Phone (419) 226-4500

770 W High St
Ste 300
Lima, OH 45801
Phone (419) 228-0570

770 W High St
Ste 360
Lima, OH 45801
Phone (419) 225-9210

770 W High St
Ste 490
Lima, OH 45801
Phone (419) 221-1394

825 W Market St
Ste 205
Lima, OH 45805
Phone (419) 996-5069

825 W Market St
Ste 260A
Lima, OH 45805
Phone (419) 228-7871

830 W High St
Ste 380
Lima, OH 45801
Phone (419) 228-7871

915 W Market St
Lima, OH 45805
Phone (419) 228-3600

959 W North St
Lima, OH 45805
Phone (419) 226-9062

967 Bellefontaine Ave
Ste 100
Lima, OH 45804
Phone (419) 996-5895

101 Putnam Pkwy
Ottawa, OH 45875
Phone (419) 523-5391

1015 S Blackhoof St
Ste D
Wapakoneta, OH 45895
Phone (419) 738-1011

1256 Bellefontaine St
Wapakoneta, OH 45895
Phone (419) 738-1011

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Institute for Orthopaedic SurgeryLima, OH, CCN 360263 Hospital 5% Or Greater Direct Ownership Interest (51%) Apr 1, 2004

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1205384161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636372",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636372",
            "telephone_number": "419-995-4949",
            "fax_number": "419-996-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014602",
            "telephone_number": "419-995-4949",
            "fax_number": "419-996-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH-ST RITAS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "RIEGER",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR, RETAIL PHARMACY",
        "authorized_official_telephone_number": "419-226-9775"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "RTP.022641200-0",
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164174",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Health Lima Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Health Lima Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.