Organization Active NPI

London Apothecary Inc

  • Community/Retail Pharmacy
  • London, OH
National Provider Identifier
1225112352
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020561550 Issued in OH
Legal business name
LONDON APOTHECARY INC
Practice address
54 W High St
Ste a
London, OH 43140-1075
Phone
(740) 852-5131
Fax
(740) 852-5135
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Authorized official

Name
Ernest Sparks, RPH
Title
Owner
Phone
(740) 852-5131

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 020561550 OH Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

54 W High St
Ste a
London, OH 43140-1075

Mailing address

54 W High St
Ste a
London, OH 43140-1075

Other identifiers 2

IdentifierTypeStateIssuer
3650531OtherOTHER ID NUMBER
0716612MedicaidOH

Other names 1

  • MEDICINE SHOPPE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930040425 OH DME Supplier - Pharmacy 9234259425 Practice locations: London, OH
O20170509002127 OH Part B Supplier - Mass Immunization (Roster Biller Only) 9234259425 Practice locations: London, OH

National Provider Directory

National Provider Directory

Locations

55 W High St
London, OH 43140

54 W High St
Ste A
London, OH 43140
Phone (740) 490-7244

54 W High St
London, OH 43140
Phone (740) 852-5131

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1225112352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 W HIGH ST",
            "address_2": "STE A",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W HIGH ST",
            "address_2": "STE A",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401075",
            "telephone_number": "740-852-5131",
            "fax_number": "740-852-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONDON APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-852-5131",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "020561550",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3650531",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0716612",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in London, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.