Active NPI
Craft Holdings LTD
Doing business as Plain City Druggist
- Clinic/Center
- Plain City, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 021145600
- 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, 2020
- Organization subpart
- Yes
- Parent organization
- OHIO APOTHECARIES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lonnie Joe Craft, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2122232 | Medicaid | OH |
Other names 1
- Plain City Druggist
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Pharmacist
- Plain City, OH
- NPI 1093974925
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.