Organization Active NPI

Ksar LLC

  • Community/Retail Pharmacy
  • Worthington, OH
National Provider Identifier
1295286680
Registry record updated Sep 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022625250-03 Issued in OH
Legal business name
KSAR LLC
Doing business as
Linworths Pharmacy
Practice address
2245 W Dublin Granville Rd
Suite 103
Worthington, OH 43085-3350
Phone
(614) 392-0960
Fax
(614) 392-5657
NPI assigned
Oct 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2023

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

Authorized official

Name
Chad Thompson, RPH
Title
Owner, Pic, Ao
Phone
(513) 706-1723

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 022625250-03 OH Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

2245 W Dublin Granville Rd
Suite 103
Worthington, OH 43085-3350

Mailing address

2245 W Dublin Granville Rd Ste 103
Worthington, OH 43085-3336
Phone (614) 392-0560

Other identifiers 2

IdentifierTypeStateIssuer
3684695MedicaidOH
2165756OtherPK

Other names 1

  • Linworths Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170227002473 OH Part B Supplier - Mass Immunization (Roster Biller Only) 2062796675 Practice locations: Worthington, OH

National Provider Directory

National Provider Directory
Tax ID family
Ksar LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694304000000",
    "number": "1295286680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 W DUBLIN GRANVILLE RD STE 103",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853336",
            "telephone_number": "614-392-0560",
            "fax_number": "614-392-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 W DUBLIN GRANVILLE RD",
            "address_2": "SUITE 103",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853350",
            "telephone_number": "614-392-0960",
            "fax_number": "614-392-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER, PIC, AO",
        "authorized_official_telephone_number": "513-706-1723",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "022625250-03",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3684695",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2165756",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linworths Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Linworths Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2023; 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.