NPIMap

Organization Active NPI

Bethesda Hosp, Inc.

Doing business as Bethesda Butler Hospital Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Hamilton, OH
National Provider Identifier
1225408925
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022192600-03 Issued in OH
Legal business name
BETHESDA HOSP, INC.
Doing business as
Bethesda Butler Hospital Outpatient Pharmacy
Practice address
3125 Hamilton Mason Rd
Hamilton, OH 45011-5307
Phone
(513) 893-8173
Fax
(513) 893-8161
NPI assigned
Oct 7, 2015
Last updated
Oct 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Leonard KaesNPI 1588256499
Title
Ambulatory Manager
Phone
(513) 862-3550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 022192600-03 OH Primary

Addresses

Primary practice location

3125 Hamilton Mason Rd
Hamilton, OH 45011-5307

Mailing address

3125 Hamilton Mason Rd
Hamilton, OH 45011-5307
Phone (513) 893-8173

Other identifiers 1

IdentifierTypeStateIssuer
2154474OtherPK

Other names 1

  • Bethesda Butler Hospital Outpatient Pharmacy Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0973633Bethesda Butler Hospital Laboratory3125 Hamilton Mason Road, Hamilton, OH 45011AccreditationJun 21, 2028
36D2240756Bethesda Butler Hospital Laboratory Poc3125 Hamilton Mason Road, Hamilton, OH 45011Certificate of waiverOct 20, 2027

National Provider Directory

National Provider Directory
Tax ID family
Theodore J Waller MD18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1225408925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 HAMILTON MASON RD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450115307",
            "telephone_number": "513-893-8173",
            "fax_number": "513-893-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 HAMILTON MASON RD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450115307",
            "telephone_number": "513-893-8173",
            "fax_number": "513-893-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA HOSP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "KAES",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "AMBULATORY MANAGER",
        "authorized_official_telephone_number": "513-862-3550"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "022192600-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154474",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethesda Butler Hospital Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.