Organization Active NPI

Glenbyrne Pharmacy, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Toledo, OH
National Provider Identifier
1316902125
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GLENBYRNE PHARMACY, INC.
Practice address
1544 S Byrne Rd
Toledo, OH 43614
Phone
(419) 385-5705
Fax
(419) 385-5112
NPI assigned
Apr 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Willard McCall
Title
Owner
Phone
(419) 385-5705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X OH Primary

Addresses

Primary practice location

1544 S Byrne Rd
Toledo, OH 43614

Mailing address

1544 S Byrne Rd
Toledo, OH 43614
Phone (419) 385-5705

Other identifiers 1

IdentifierTypeStateIssuer
3223130MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Glenbyrne Pharmacy Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316902125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 S BYRNE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43614",
            "telephone_number": "419-385-5705",
            "fax_number": "419-385-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 S BYRNE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43614",
            "telephone_number": "419-385-5705",
            "fax_number": "419-385-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENBYRNE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "WILLARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-385-5705",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3223130",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.