Organization Active NPI

Thornville Pharmacy LLC

Doing business as Thornville Pharmacy

  • Community/Retail Pharmacy
  • Thornville, OH
National Provider Identifier
1225136112
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
021397150 Issued in OH
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

Updated by the provider on Feb 9, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0508472MedicaidOH
2075957OtherPK

Other names 1

  • THORNVILLE PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.