Organization Active NPI

Adegen Pharmacy LLC

  • Pharmacy
  • Grove City, OH
National Provider Identifier
1245093574
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
ADEGEN PHARMACY LLC
Practice address
1620 Gateway Cir
Grove City, OH 43123-8650
Phone
(614) 522-0429
NPI assigned
Jan 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
John Goss
Title
Ceo
Phone
(614) 522-0429

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1620 Gateway Cir
Grove City, OH 43123-8650

Mailing address

1620 Gateway Cir
Grove City, OH 43123-8650
Phone (614) 522-0429

Other names 1

  • ADEGEN PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1620 Gateway Cir
Grove City, OH 43123
Phone (614) 522-0429

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1245093574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 GATEWAY CIR",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431238650",
            "telephone_number": "614-522-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 GATEWAY CIR",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431238650",
            "telephone_number": "614-522-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEGEN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "GOSS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-522-0429"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADEGEN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grove City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.