Active NPI
Uptown Pharmacy LLC
Doing business as Essentra Pharmacy
- Community/Retail Pharmacy
- Marengo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 022629350
- Legal business name
- UPTOWN PHARMACY LLC
- Doing business as
- Essentra Pharmacy
- Practice address
- 73 Sportsman Dr
Suite B
Marengo, OH 43334-1800 - Phone
- (419) 253-0632
- Fax
- (419) 253-0622
- NPI assigned
- Sep 30, 2016
- Last updated
- Apr 16, 2026
- Organization subpart
- Yes
- Parent organization
- UPTOWN PHARMACY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nicholas William Newman, PHARMD
- Title
- Pharmacist in Charge
- Phone
- (419) 253-0732
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 022629350 | OH | |
| Pharmacy | 333600000X | 022629350 | OH | |
| Community/Retail Pharmacy | 3336C0003X | 022629350 | OH | Primary |
| Health Educator | 174H00000X |
Addresses
Primary practice location
73 Sportsman Dr
Suite B
Marengo, OH 43334-1800
Mailing address
73 Sportsman Dr
Suite B
Marengo, OH 43334-1800
Phone (419) 253-0632
Other names 1
- Essentra Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170405000915 | OH | DME Supplier - Pharmacy | 8022175371 | Practice locations: Marengo, OH |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Medication Consultants of Ohio
- Community/Retail Pharmacy
- Westerville, OH
- NPI 1275642381
8022175371
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2120342 | Essentra Pharmacy | Certificate of waiver | Oct 13, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Uptown Pharmacy LLC | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Nebulizer Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Uptown Pharmacy LLC
- Part of
- Uptown Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Medication Consultants of Central Ohio
- Clinic/Center
- Westerville, OH
- NPI 1639586498
Locations
73 Sportsman Dr
#B
Marengo, OH 43334
Phone (419) 253-0632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776297600000",
"number": "1205385333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 SPORTSMAN DR",
"address_2": "SUITE B",
"city": "MARENGO",
"state": "OH",
"postal_code": "433341800",
"telephone_number": "419-253-0632",
"fax_number": "419-253-0622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 SPORTSMAN DR",
"address_2": "SUITE B",
"city": "MARENGO",
"state": "OH",
"postal_code": "433341800",
"telephone_number": "419-253-0632",
"fax_number": "419-253-0622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPTOWN PHARMACY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UPTOWN PHARMACY LLC",
"enumeration_date": "2016-09-30",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A",
"authorized_official_last_name": "NEWMAN",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "419-253-0732",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "OH",
"license": "022629350",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "OH",
"license": "022629350",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OH",
"license": "022629350",
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Essentra Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Essentra Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marengo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.