Active NPI
Associated Health Services of Northwest Ohio
Doing business as Clinic Pharmacy
- Community/Retail Pharmacy
- Toledo, OH
National Provider Identifier
1205991452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 020559450
- Legal business name
- ASSOCIATED HEALTH SERVICES OF NORTHWEST OHIO
- Doing business as
- Clinic Pharmacy
- Practice address
- 4235 Secor Road
Toledo, OH 43623 - Phone
- (419) 479-5800
- Fax
- (419) 472-3455
- NPI assigned
- Dec 27, 2006
- Last updated
- Sep 5, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Thompson, RPH.
- Title
- Director, Pharmacy
- Phone
- (419) 479-5800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 020559450 | OH | Primary |
Addresses
Primary practice location
4235 Secor Road
Toledo, OH 43623
Mailing address
4235 Secor Road
Toledo, OH 43623
Phone (419) 479-5800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0419078 | Medicaid | OH | |
| 3650632 | Other | OH | NABP |
Other names 1
- CLINIC PHARMACY
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1679570352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409875200000",
"number": "1205991452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4235 SECOR ROAD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43623",
"telephone_number": "419-479-5800",
"fax_number": "419-472-3455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4235 SECOR ROAD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43623",
"telephone_number": "419-479-5800",
"fax_number": "419-472-3455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATED HEALTH SERVICES OF NORTHWEST OHIO",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-27",
"last_updated": "2014-09-05",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "DIRECTOR, PHARMACY",
"authorized_official_telephone_number": "419-479-5800",
"authorized_official_credential": "RPH."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OH",
"license": "020559450",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0419078",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "3650632",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CLINIC PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Toledo, OH
- Assistance Health Care Agency
- Assisted Care by Black Stone of Toledo, LLC (Assisted Care by Black Stone of Toledo)
- Associated Anesthesiologists of Toledo, Inc
- Associated Chiropractic Physicians of NW Ohio, LLC
- Associated Eye Care Inc (Optical Illusion)
- Associated Pain Practitioners
- Assurance Care Systems LLC,
- Assurance Plus
- Assured Health Services
- Assured Home Health Agency LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.