Proscript, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PROSCRIPT, INC

Doing business as

Medicine Shoppe

Practice address

3600 Wilmington Pike
Kettering, OH 45429-4819

Phone

(937) 293-1919

Fax

(937) 293-0994

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David C. Boyko

Title

Owner Vice President

Phone

(937) 293-1919

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Medicine Shoppe Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Louis Boyko Jr., PHARMD

  • Pharmacist
  • Kettering, OH
  • NPI 1790843191
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1235204934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 WILMINGTON PIKE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454294819",
            "telephone_number": "937-293-1919",
            "fax_number": "937-293-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 WILMINGTON PIKE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454294819",
            "telephone_number": "937-293-1919",
            "fax_number": "937-293-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSCRIPT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BOYKO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER VICE PRESIDENT",
        "authorized_official_telephone_number": "937-293-1919",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2405016",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "3646049",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Kettering, OH
• Providers in Kettering, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.