Organization Active NPI

Marc Drug Company

Doing business as Bettmans Pharmacy

  • Community/Retail Pharmacy
  • Dayton, OH
National Provider Identifier
1235211038
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020087000 Issued in OH
Legal business name
MARC DRUG COMPANY
Doing business as
Bettmans Pharmacy
Practice address
2350 Catalpa Dr
Dayton, OH 45406-2103
Phone
(937) 274-2101
Fax
(937) 276-8455
NPI assigned
Oct 20, 2006
Last updated
Jul 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Authorized official

Name
Joseph Bettman
Title
President
Phone
(937) 274-2101

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 020087000 OH Primary

Addresses

Primary practice location

2350 Catalpa Dr
Dayton, OH 45406-2103

Mailing address

2350 Catalpa Dr
Dayton, OH 45406-2103
Phone (937) 274-2101

Other identifiers 2

IdentifierTypeStateIssuer
3604344OtherNCPDP PROVIDER IDENTIFICATION NUMBER
0686753MedicaidOH

Other names 1

  • BETTMANS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2350 Catalpa Dr
Dayton, OH 45406
Phone (937) 274-2101

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1235211038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 CATALPA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454062103",
            "telephone_number": "937-274-2101",
            "fax_number": "937-276-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 CATALPA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454062103",
            "telephone_number": "937-274-2101",
            "fax_number": "937-276-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC DRUG COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "BETTMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-274-2101"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "020087000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3604344",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0686753",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BETTMANS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.