Organization Active NPI

Tri-County Hematology & Oncology Associates, Inc.

  • Clinic Pharmacy
  • Massillon, OH
National Provider Identifier
1215075221
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
02-1200100 Issued in OH
Legal business name
TRI-COUNTY HEMATOLOGY & ONCOLOGY ASSOCIATES, INC.
Practice address
7337 Caritas Cir NW
Massillon, OH 44646-9118
Phone
(330) 478-0001
Fax
(330) 837-2646
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Farouq Ahmed, M.D.
Title
President
Phone
(330) 478-0001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 02-1200100 OH Primary

Addresses

Primary practice location

7337 Caritas Cir NW
Massillon, OH 44646-9118

Mailing address

7337 Caritas Cir NW
Massillon, OH 44646-9118
Phone (330) 478-0001

Other identifiers 3

IdentifierTypeStateIssuer
02-1200100OtherOHPHARMACY ID NUMBER
3675381OtherOHNCPDP NUMBER
2044639MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Tri-County Hematology and Oncology Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1215075221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7337 CARITAS CIR NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469118",
            "telephone_number": "330-478-0001",
            "fax_number": "330-837-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7337 CARITAS CIR NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469118",
            "telephone_number": "330-478-0001",
            "fax_number": "330-837-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY HEMATOLOGY & ONCOLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2023-03-07",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "FAROUQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-478-0001",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "OH",
            "license": "02-1200100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY ID NUMBER",
            "identifier": "02-1200100",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "3675381",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2044639",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.