Pharmacy Etc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RTP.020788900-03 Issued in OH

Legal business name

PHARMACY ETC

Doing business as

DANE DRUGS

Practice address

6495 E Broad St
Columbus, OH 43213-1541

Phone

(614) 866-9338

Fax

(614) 866-7220

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Kathryn Green, BSPH

Title

President

Phone

(614) 866-9338

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• DANE DRUGS Doing business as

Locations

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1306951348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6495 E BROAD ST",
            "address_2": "SUITE D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131541",
            "telephone_number": "614-866-9338",
            "fax_number": "614-866-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6495 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131541",
            "telephone_number": "614-866-9338",
            "fax_number": "614-866-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY ETC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-866-9338",
        "authorized_official_credential": "BSPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "RTP.020788900-03",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2076635",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0618773",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DANE DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tuan Anh Le Phan, MD
• Chloe Leanna Phares
• Yolanda Phares
• Hunter Pharis, DO
• Pharmacist Health Management Company
• Pharmacy4Humanity
• Pharmiserv Corp
• Pharmscript of Oh LLC
• Phases Counseling, Consultation, & Wellness
• John Edward Phay, MD

• Community/Retail Pharmacy in Columbus, OH
• Providers in Columbus, 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 May 20, 2016; 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.