NPIMap

Organization Active NPI

State of Ohio of Budget and Management State Accounting

Doing business as South Eastern Correctional Institution Pharmacy

  • Institutional Pharmacy
  • Lancaster, OH
National Provider Identifier
1225215007
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
020297800 Issued in OH
Legal business name
STATE OF OHIO OF BUDGET AND MANAGEMENT STATE ACCOUNTING
Doing business as
South Eastern Correctional Institution Pharmacy
Practice address
5900 B I S Road
Lancaster, OH 43130
Phone
(740) 653-4324
Fax
(740) 653-7169
NPI assigned
Jan 24, 2008
Last updated
Jul 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Authorized official

Name
Jerry Oliver, RPH
Title
Phcy Director
Phone
(740) 653-4324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 020297800 OH Primary

Addresses

Primary practice location

5900 B I S Road
Lancaster, OH 43130

Mailing address

5900 B I S Road
Lancaster, OH 43130
Phone (740) 653-4324

Other identifiers 1

IdentifierTypeStateIssuer
3676600OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • SOUTH EASTERN CORRECTIONAL INSTITUTION PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Central Ohio Pyschiatri39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1225215007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 B I S ROAD",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "43130",
            "telephone_number": "740-653-4324",
            "fax_number": "740-653-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 B I S ROAD",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "43130",
            "telephone_number": "740-653-4324",
            "fax_number": "740-653-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF OHIO OF BUDGET AND MANAGEMENT STATE ACCOUNTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PHCY DIRECTOR",
        "authorized_official_telephone_number": "740-653-4324",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "OH",
            "license": "020297800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3676600",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH EASTERN CORRECTIONAL INSTITUTION PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.