Powell Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

POWELL PHARMACY INC

Practice address

4004 Presidential Pkwy
Powell, OH 43065-8440

Phone

(614) 636-4499

NPI assigned

Feb 18, 2019

Organization subpart

No

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

Authorized official

Name

Emlah TubuoNPI 1518492818

Title

Owner

Phone

(614) 493-7570

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emlah Tubuo

  • Pharmacist
  • Columbus, OH
  • NPI 1518492818
  NPD Authorized official
• Amanda Gilliland, PHARMD

  • Pharmacist
  • Powell, OH
  • NPI 1417838277
  NPD (past)

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552608000000",
    "number": "1265998025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 PRESIDENTIAL PKWY",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658440",
            "telephone_number": "614-636-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 PRESIDENTIAL PKWY",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658440",
            "telephone_number": "614-636-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-03-15",
        "status": "A",
        "authorized_official_last_name": "TUBUO",
        "authorized_official_first_name": "EMLAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-493-7570"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Powell Dental Group-Shelley D Shults DDS LLC
• Powell Dental Sleep Solutions LLC
• Powell Dental Surgery
• Powell Family Medicine, Inc
• Powell Pediatric Care
• Powell Vision Center, Inc
• Christa E Prati, MA CCC-SLP
• Premium Transportation LLC
• Pro Supports Plus, LLC
• Professional Integrative Care LLC

• Community/Retail Pharmacy in Powell, OH
• Providers in Powell, 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 15, 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.