Organization Active NPI

Uptown Pharmacy LLC

Doing business as Essentra Pharmacy

  • Community/Retail Pharmacy
  • Marengo, OH
National Provider Identifier
1205385333
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022629350 Issued in OH
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, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
UPTOWN PHARMACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2120342Essentra Pharmacy73 Sportsman's Dr Suite B, Marengo, OH 43334Certificate of waiverOct 13, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Uptown Pharmacy LLC73 Sportsman Dr, Marengo, OH 43334-1800(419) 253-0632 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 assignmentParticipating since Dec 8, 2008

National Provider Directory

National Provider Directory
Tax ID family
Uptown Pharmacy LLC2 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.