Active NPI
Secundum Artem Enterprises Inc
Doing business as Medicine Shoppe
- Community/Retail Pharmacy
- Urbana, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SECUNDUM ARTEM ENTERPRISES INC
- Doing business as
- Medicine Shoppe
- Practice address
- 821 Scioto St
Urbana, OH 43078-2223 - Phone
- (937) 653-3914
- Fax
- (937) 653-5894
- NPI assigned
- Dec 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bryan Thompson, RPH
- Title
- Owner Pharmacist
- Phone
- (937) 653-3914
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 020185850 | OH | |
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
821 Scioto St
Urbana, OH 43078-2223
Mailing address
821 Scioto St
Urbana, OH 43078-2223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0502521 | Medicaid | OH | |
| 3640299 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- MEDICINE SHOPPE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930000317 | OH | DME Supplier - Pharmacy | 8426175571 | Practice locations: Urbana, OH |
| O20121222000013 | OH | Part B Supplier - Mass Immunization (Roster Biller Only) | 8426175571 | Practice locations: Urbana, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2195839 | Medicine Shoppe #1202, the | Certificate of waiver | Oct 12, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Secundum Artem Enterprises Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Enteral Nutrients | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Secundum Artem Enterprises Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Resident Care Pharmacy
- Long Term Care Pharmacy
- Urbana, OH
- NPI 1235585514
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
- Urbana, OH
- NPI 1255927802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1295890614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 SCIOTO ST",
"city": "URBANA",
"state": "OH",
"postal_code": "430782223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 SCIOTO ST",
"city": "URBANA",
"state": "OH",
"postal_code": "430782223",
"telephone_number": "937-653-3914",
"fax_number": "937-653-5894"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SECUNDUM ARTEM ENTERPRISES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-26",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "OWNER PHARMACIST",
"authorized_official_telephone_number": "937-653-3914",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "OH",
"license": "020185850",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0502521",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3640299",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDICINE SHOPPE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Urbana, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.