Miami Valley Medical Supplies Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

021040500 Issued in OH

Legal business name

MIAMI VALLEY MEDICAL SUPPLIES INC.

Doing business as

CENTERVILLE LTC PHARMACY

Practice address

9352 Dayton Lebanon Pike Ste B
Centerville, OH 45458-3843

Phone

(937) 435-5751

Fax

(937) 435-5759

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Thomas Mowbray

Title

President

Phone

(937) 435-5751

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CENTERVILLE LTC PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1326145269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9352 DAYTON LEBANON PIKE STE B",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454583843",
            "telephone_number": "937-435-5751",
            "fax_number": "937-435-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9352 DAYTON LEBANON PIKE STE B",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454583843",
            "telephone_number": "937-435-5751",
            "fax_number": "937-435-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI VALLEY MEDICAL SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "MOWBRAY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-435-5751"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OH",
            "license": "021040500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2056706",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3670761",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTERVILLE LTC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ihab F Messiha, D.D.S
• Jessica Diane Meyer, CDCA
• Enrico M Meza-Cuadra
• Patrick U Mezu, MD
• Miami Valley CCK Laboratory
• Caren Michael, APRN-CNP
• Marie Middleton, NP-C
• Midwest Federal Injury Group
• Midwest Vein Treatment Clinic Inc
• Eleina Mikhaylov, MD

• Long Term Care Pharmacy in Centerville, OH
• Providers in Centerville, OH by specialty
• Long Term Care Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.