NPIMap

Organization Active NPI

Discount Drug Mart Inc

Doing business as Discount Drug Mart #88

  • Community/Retail Pharmacy
  • Lisbon, OH
National Provider Identifier
1235790031
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DISCOUNT DRUG MART INC
Doing business as
Discount Drug Mart #88
Practice address
7626 State Route 45
Lisbon, OH 44432-9394
Phone
(330) 870-1190
NPI assigned
Jun 24, 2019
Last updated
Jun 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Authorized official

Name
Laura S TaylorNPI 1023649290
Title
Pharmacy Coordinator
Phone
(330) 725-2340

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

7626 State Route 45
Lisbon, OH 44432-9394

Mailing address

211 Commerce Dr
Medina, OH 44256-1331
Phone (330) 725-2340

Other identifiers 1

IdentifierTypeStateIssuer
88OtherSTORE NUMBER

Other names 1

  • Discount Drug Mart #88 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040820000066 OH Part B Supplier - Mass Immunization (Roster Biller Only) 4587638168 This NPI is an additional NPI on the enrollment
O20190917002636 OH DME Supplier - Pharmacy 4587638168 Practice locations: Lisbon, OH

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
36D2186419Discount Drug Mart #887626 State Route 45, Lisbon, OH 44432Certificate of waiverJun 16, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Discount Drug Mart #887626 State Route 45, Lisbon, OH 44432-9394(330) 870-1190 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Orthoses: Off-The-Shelf|Urological Supp… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Discount Drug Mart84 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 3

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": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1235790031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 COMMERCE DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561331",
            "telephone_number": "330-725-2340",
            "fax_number": "330-764-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7626 STATE ROUTE 45",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444329394",
            "telephone_number": "330-870-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOUNT DRUG MART INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHARMACY COORDINATOR",
        "authorized_official_telephone_number": "330-725-2340"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STORE NUMBER",
            "identifier": "88",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discount Drug Mart #88",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lisbon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.