Aultman Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

021673600 Issued in OH

Legal business name

AULTMAN PHARMACY INC

Doing business as

Aultman Pharmacy

Practice address

5215 Fulton Dr NW # WN
Canton, OH 44718-1805

Phone

(330) 433-9005

Fax

(330) 433-9022

NPI assigned

Apr 6, 2007

Last updated

Jun 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Casey, RPH

Title

PHRM Mang

Phone

(330) 433-9005

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• AULTMAN PHARMACY Doing business as

Tax ID family

Aultman Pharmacy2 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.

• Aultman Pharmacy Inc

  • Community/Retail Pharmacy
  • North Canton, OH
  • NPI 1730122904
  NPD tax ID

Locations

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1295857498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 FULTON DR NW # WN",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447181805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 FULTON DR NW # WN",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447181805",
            "telephone_number": "330-433-9005",
            "fax_number": "330-433-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AULTMAN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PHRM MANG",
        "authorized_official_telephone_number": "330-433-9005",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "021673600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3675773",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2721022",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AULTMAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aultman Hospital (Aultman Employee Pharmacy)
• Aultman Hospital (Aultman Hospice)
• Aultman Hospital (Aultman Hospital Rehab)
• Aultman Hospital (Aultman Infusion Services)
• Aultman Medical Group, Inc
• Aultman Specialty Hospital LLC (Acute Care Specialty Hospital)
• Aurora Health Services LLC (Aurora Health Services - Ohio)
• Austin Counseling Center for Women & Families
• Andrea Jo Austin, PSY.S.
• Jessica Austin, LPN

• Community/Retail Pharmacy in Canton, OH
• Providers in Canton, 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 Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.