Active NPI
Thornville Pharmacy LLC
Doing business as Thornville Pharmacy
- Community/Retail Pharmacy
- Thornville, OH
National Provider Identifier
1225136112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 021397150
- Legal business name
- THORNVILLE PHARMACY LLC
- Doing business as
- Thornville Pharmacy
- Practice address
- 2 N Main St
Thornville, OH 43076-9444 - Phone
- (740) 246-6511
- Fax
- (740) 246-6513
- NPI assigned
- Sep 21, 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
- Stacy Appleton, RPH
- Title
- Sole Owner
- Phone
- (740) 246-6511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 021397150 | OH | Primary |
Addresses
Primary practice location
2 N Main St
Thornville, OH 43076-9444
Mailing address
PO Box 396
Thornville, OH 43076-0396
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0508472 | Medicaid | OH | |
| 2075957 | Other | PK |
Other names 1
- THORNVILLE PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707436800000",
"number": "1225136112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 396",
"city": "THORNVILLE",
"state": "OH",
"postal_code": "430760396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 N MAIN ST",
"city": "THORNVILLE",
"state": "OH",
"postal_code": "430769444",
"telephone_number": "740-246-6511",
"fax_number": "740-246-6513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THORNVILLE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A",
"authorized_official_last_name": "APPLETON",
"authorized_official_first_name": "STACY",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "740-246-6511",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OH",
"license": "021397150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0508472",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2075957",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "THORNVILLE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Thornville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.