Organization Active NPI

Craft Holdings LTD

Doing business as Plain City Druggist

  • Clinic/Center
  • Plain City, OH
National Provider Identifier
1285667444
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
021145600 Issued in OH
Legal business name
CRAFT HOLDINGS LTD
Doing business as
Plain City Druggist
Practice address
480 S Jefferson Ave
Plain City, OH 43064-4137
Phone
(614) 873-0880
Fax
(614) 873-0972
NPI assigned
Jul 9, 2006
Last updated
Mar 12, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
OHIO APOTHECARIES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Authorized official

Name
Mr. Lonnie Joe Craft, RPHNPI 1093974925
Title
Managing Member
Phone
(614) 573-1557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 021145600 OH Primary

Addresses

Primary practice location

480 S Jefferson Ave
Plain City, OH 43064-4137

Mailing address

PO Box 126
Plain City, OH 43064-0126
Phone (614) 873-0880

Other identifiers 1

IdentifierTypeStateIssuer
2122232MedicaidOH

Other names 1

  • Plain City Druggist Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060726000429 OH Part B Supplier - Mass Immunization (Roster Biller Only) 7517970189 Practice locations: Plain City, OH

National Provider Directory

National Provider Directory
Part of
Karl Road Druggist LLC

Locations

220 W Main St
Plain City, OH 43064
Phone (614) 873-0880

480 S Jefferson Ave
Ste 10
Plain City, OH 43064
Phone (614) 873-0880

480 S Jefferson Ave
Ste 100
Plain City, OH 43064
Phone (614) 873-0880

Practitioners & affiliated clinicians

Practitioners 1

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": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1285667444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430640126",
            "telephone_number": "614-873-0880",
            "fax_number": "614-873-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 S JEFFERSON AVE",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430644137",
            "telephone_number": "614-873-0880",
            "fax_number": "614-873-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAFT HOLDINGS LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OHIO APOTHECARIES LLC",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "CRAFT",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "614-573-1557",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "021145600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2122232",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plain City Druggist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Plain City Druggist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plain City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.