Active NPI
South Webster Pharmacy, LLC
- Community/Retail Pharmacy
- South Webster, OH
National Provider Identifier
1316051394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 021558550
- Legal business name
- SOUTH WEBSTER PHARMACY, LLC
- Doing business as
- Smith's Pharmacy
- Practice address
- 11016 Main St
South Webster, OH 45682-7501 - Phone
- (740) 778-3784
- Fax
- (740) 778-3782
- NPI assigned
- Aug 18, 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
- Michael Sturgill, RPH
- Title
- Owner
- Phone
- (740) 354-5622
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 |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 021558550 | OH | Primary |
Addresses
Primary practice location
11016 Main St
South Webster, OH 45682-7501
Mailing address
741 2ND St
Portsmouth, OH 45662-4001
Phone (740) 354-5622
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2657245 | Medicaid | OH | |
| 2080399 | Other | PK |
Other names 1
- Smith's Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930092145 | OH | DME Supplier - Pharmacy | 3577766500 | Practice locations: South Webster, OH |
| O20171108001003 | OH | Part B Supplier - Mass Immunization (Roster Biller Only) | 3577766500 | Practice locations: South Webster, 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 |
|---|---|---|---|
| 36D2184554 | South Webster Pharmacy, LLC | Certificate of waiver | May 20, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Smith'S Pharmacy | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Does not accept assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Portsmouth, OH
- NPI 1396331898
-
- Pharmacist
- Portsmouth, OH
- NPI 1790618171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1316051394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 2ND ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456624001",
"telephone_number": "740-354-5622",
"fax_number": "740-353-1275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11016 MAIN ST",
"city": "SOUTH WEBSTER",
"state": "OH",
"postal_code": "456827501",
"telephone_number": "740-778-3784",
"fax_number": "740-778-3782"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH WEBSTER PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-18",
"last_updated": "2025-09-19",
"status": "A",
"authorized_official_last_name": "STURGILL",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "740-354-5622",
"authorized_official_credential": "RPH"
},
"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": "021558550",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2657245",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2080399",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Smith's Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Webster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.