Organization Active NPI

Harding Road Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Springfield, OH
National Provider Identifier
1245389949
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02-0181950 Issued in OH
Legal business name
HARDING ROAD PHARMACY, INC.
Practice address
400 W Harding Rd
Springfield, OH 45504-1707
Phone
(937) 399-8531
Fax
(937) 399-4911
NPI assigned
Jan 10, 2007
Last updated
Jan 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Mr. Dwight Allen Dobbins, R.PH.NPI 1336350172
Title
Owner
Phone
(937) 399-8531

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 069470001 OH
Community/Retail Pharmacy 3336C0003X 02-0181950 OH Primary
Long Term Care Pharmacy 3336L0003X 020181950 OH

Addresses

Primary practice location

400 W Harding Rd
Springfield, OH 45504-1707

Mailing address

400 W Harding Rd
Springfield, OH 45504-1707
Phone (937) 399-8531

Other identifiers 1

IdentifierTypeStateIssuer
0478273MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930065362 OH DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 4284759804 Practice locations: Springfield, 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
36D2103902Harding Road Pharmacy400 W Harding Rd, Springfield, OH 45504Certificate of waiverOct 21, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Harding Road Pharmacy, Inc.400 W Harding Rd, Springfield, OH 45504-1707(937) 399-8531 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Tra… Accepts assignmentParticipating since Jul 13, 2016

National Provider Directory

National Provider Directory

Locations

400 W Harding Rd
Springfield, OH 45504
Phone (937) 244-0314

Practitioners & affiliated clinicians

Practitioners 6

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1245389949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W HARDING RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041707",
            "telephone_number": "937-399-8531",
            "fax_number": "937-399-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W HARDING RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041707",
            "telephone_number": "937-399-8531",
            "fax_number": "937-399-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDING ROAD PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "DOBBINS",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-399-8531",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "069470001",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02-0181950",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OH",
            "license": "020181950",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0478273",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.