Minerva Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Minerva, OH
NPI 1295826741 · NPPES record last updated Dec 17, 2007
Key facts
- NPI
- 1295826741
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 03-2-19719 (OH)
- Legal business name
- MINERVA PHARMACY INC
- Practice address
- 251 East St
Minerva, OH 44657-1617 - Phone
- (330) 868-6200
- Fax
- (330) 453-7688
- NPI assigned
- Sep 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Andrea Evanich, R PH
- Title
- Pharmacist
- Phone
- (330) 453-4804
Member of 3
Member organizations 3
Practitioners 2
-
Mitchell R Heppner, PHARMD
-
Melissa Anne Overly, RPH
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Minerva Pharmacy Inc |
Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf|Nebulizer Equipment and/or Supplies|Surgical Dressings | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930064421 | OH | DME Supplier - Pharmacy |
6709904949 | Practice locations: Minerva, OH |
National Provider Directory
Locations
2601 Tuscarawas St W
Canton, OH 44708
251 East St
Minerva, OH 44657
Phone (330) 868-6200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 03-2-19719 | OH | |
| Community/Retail Pharmacy | 3336C0003X | 03-2-19719 | OH | Yes |
Addresses
Primary practice location
251 East St
Minerva, OH 44657-1617
Mailing address
2601 Tuscarawas St W
Canton, OH 44708-4603
Phone (330) 453-4804
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3656292 | Other | OH | NAPB |
| 0853901 | Medicaid | OH |
Other names
- The Medicine Shoppe
Other providers in Minerva, OH
- Minerva Center for Living LLC
- Minerva Chiropractic Center Inc.
- Minerva Convalescent Center LLC
- Minerva Local Schools
- Minerva Opco, LLC
- Joni Ann Mitzel
- Mobility Stairlifts, LLC
- Margaret Morris
- Diana Gwen Orr
- Emily L. Orr
All providers in Minerva, OH · Community/Retail Pharmacy in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.