Active NPI
London Apothecary Inc
- Community/Retail Pharmacy
- London, OH
National Provider Identifier
1225112352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 020561550
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3650531 | Other | OTHER ID NUMBER | |
| 0716612 | Medicaid | OH |
Other names 1
- MEDICINE SHOPPE PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.