NPIMap

Organization Active NPI

Adena Pharmacy LLC

  • Community/Retail Pharmacy
  • Wellston, OH
National Provider Identifier
1205565694
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ADENA PHARMACY LLC
Practice address
2 E a St
Wellston, OH 45692-1210
Phone
(740) 384-7715
Fax
(740) 384-7719
NPI assigned
Jun 9, 2022
Organization subpart
Yes
Parent organization
ADENA PHARMACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Michael Johnson, PHARMD
Title
Ambulatory Pharmacy Director
Phone
(740) 779-8760

Specialties & licenses 1

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

Addresses

Primary practice location

2 E a St
Wellston, OH 45692-1210

Mailing address

272 Hospital Road
Attn: Michael Johnson
Chillicothe, OH 45601
Phone (740) 779-8638

Other names 1

  • Adena Wellston Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adena Pharmacy LLC5 organizations share this tax ID, including this one
Part of
Adena Pharmacy LLC

Other organizations with this tax ID 4

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

Locations

2 E A St
Wellston, OH 45692
Phone (740) 384-7715

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1205565694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL ROAD",
            "address_2": "ATTN: MICHAEL JOHNSON",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "45601",
            "telephone_number": "740-779-8638",
            "fax_number": "740-779-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E A ST",
            "city": "WELLSTON",
            "state": "OH",
            "postal_code": "456921210",
            "telephone_number": "740-384-7715",
            "fax_number": "740-384-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADENA PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADENA PHARMACY LLC",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "AMBULATORY PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "740-779-8760",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adena Wellston Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellston, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.