Sugarcreek Plaza Foods LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RTP020940850 Issued in OH

Legal business name

SUGARCREEK PLAZA FOODS LLC

Practice address

6134 Wilmington Pike
Centerville, OH 45459-7029

Phone

(937) 848-6691

Fax

(937) 848-3666

NPI assigned

Nov 27, 2006

Organization subpart

No

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

Authorized official

Name

Mike Lofino, RPH

Title

President

Phone

(937) 431-1662

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• CUB PHARMACY 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.

• Richard L. Durham, RPH

  • Pharmacist
  • Centerville, OH
  • NPI 1508844481
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1245306901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6134 WASHINGTON PIKE",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "45459",
            "telephone_number": "937-848-4600",
            "fax_number": "937-848-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6134 WILMINGTON PIKE",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454597029",
            "telephone_number": "937-848-6691",
            "fax_number": "937-848-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGARCREEK PLAZA FOODS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "LOFINO",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-431-1662",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "RTP020940850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3662461",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0287194",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CUB PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mollie Strauchon, D.O.
• Stacey Lynn Strayer, D.P.T.
• Jenna Striebel
• Michelle Strizak, PA-C
• Sarah Stueve
• Joanna Sullivan
• Megan Sullivan, RPH, PHARMD
• Sunrise Health Care LLC.
• Kevin Frederick Sunshein, D.P.M.
• Kevin Swartz, ATC, AT

• Community/Retail Pharmacy in Centerville, OH
• Providers in Centerville, 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 30, 2012; 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.