NPIMap

Organization Active NPI

Brossart Inc

Doing business as brossart Pharamcy

  • Community/Retail Pharmacy
  • Cleves, OH
National Provider Identifier
1326089186
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BROSSART INC
Doing business as
brossart Pharamcy
Practice address
45 S Miami Ave
Cleves, OH 45002-1216
Phone
(513) 941-0428
Fax
(513) 467-3512
NPI assigned
Jun 10, 2006
Last updated
Jun 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Mr. John Joseph Brossart, RPHNPI 1255394508
Title
President
Phone
(513) 941-0428

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)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 03-3-16002 OH
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

45 S Miami Ave
Cleves, OH 45002-1216

Mailing address

45 S Miami Ave
Cleves, OH 45002-1216
Phone (513) 941-0428

Other identifiers 1

IdentifierTypeStateIssuer
2011101MedicaidOH

Other names 1

  • brossart Pharamcy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930002208 OH DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 4284631268 Practice locations: Cleves, OH
O20210420000892 OH Part B Supplier - Independent Clinical Laboratory 4284631268 Practice locations: Cleves, OH
O20210528000284 OH Part B Supplier - Pharmacy 4284631268 Practice locations: Cleves, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1326089186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 S MIAMI AVE",
            "city": "CLEVES",
            "state": "OH",
            "postal_code": "450021216",
            "telephone_number": "513-941-0428",
            "fax_number": "513-467-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 S MIAMI AVE",
            "city": "CLEVES",
            "state": "OH",
            "postal_code": "450021216",
            "telephone_number": "513-941-0428",
            "fax_number": "513-467-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROSSART INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "BROSSART",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-941-0428",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-3-16002",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2011101",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "brossart Pharamcy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleves, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.