Standard Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

02009935002049 Issued in OH

Legal business name

STANDARD PHARMACY

Practice address

541 W Main St
Springfield, OH 45504

Phone

(937) 325-2224

Fax

(937) 325-0422

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Charles Edward Kelly Sr., RPH

Title

Owner and RPH

Phone

(937) 325-2224

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1235251802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 W MAIN ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45504",
            "telephone_number": "937-325-2224",
            "fax_number": "937-325-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 W MAIN ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45504",
            "telephone_number": "937-325-2224",
            "fax_number": "937-325-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDARD PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER AND RPH",
        "authorized_official_telephone_number": "937-325-2224",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02009935002049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8371953",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Springfield Township Trustees
• Springfield Urology LLC
• Steven Mark Stackhouse, D.D.S.
• Bethany Stacy
• Suzan Nannette Stalder
• Jana Stanhope, CDCA
• Kimberly Stanley, PHARMD.
• Natalie Nicole Stanley, PA-C
• Emily Stanton, PHYSICAL THERAPIST
• Stat Medical Transport LLC

• Community/Retail Pharmacy in Springfield, OH
• Providers in Springfield, 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 Jul 30, 2008; 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.