Y and B Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

020614900 Issued in OH

Legal business name

Y AND B DRUG INC

Doing business as

Canal Pharmacy

Practice address

102 S Broadway St
Spencerville, OH 45887-1267

Phone

(419) 647-4584

Fax

(419) 647-6231

NPI assigned

May 27, 2005

Last updated

Apr 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen Burkholder, RPHNPI 1437167988

Title

VP

Phone

(419) 647-4584

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• CANAL PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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.

• Kathleen Mary Burkholder, R.PH.

  • Pharmacist
  • Spencerville, OH
  • NPI 1437167988
  NPD Authorized official
• Lori Marie Ringwald

  • Pharmacist
  • Spencerville, OH
  • NPI 1689693012
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1255334728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9830",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841099830",
            "telephone_number": "419-647-4584",
            "fax_number": "419-647-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S BROADWAY ST",
            "city": "SPENCERVILLE",
            "state": "OH",
            "postal_code": "458871267",
            "telephone_number": "419-647-4584",
            "fax_number": "419-647-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y AND B DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "BURKHOLDER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "419-647-4584",
        "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": "020614900",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2071751",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0777931",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spencerville Ambulance Service
• Spencerville Dental Associates
• Spencerville Local School District
• Spencerville Physicians, LTD
• Yvonne Rachelle Stanovich, MS, RD. LD

• Community/Retail Pharmacy in Spencerville, OH
• Providers in Spencerville, 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 Apr 20, 2017; 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.