NPIMap

Organization Active NPI

Adena Pharmacy, LLC

Doing business as Adena Pharmacy

  • Community/Retail Pharmacy
  • Chillicothe, OH
National Provider Identifier
1326320557
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022135850 Issued in OH
Legal business name
ADENA PHARMACY, LLC
Doing business as
Adena Pharmacy
Practice address
4439 State Route 159
Suite G40
Chillicothe, OH 45601-8207
Phone
(740) 779-8763
Fax
(740) 779-8769
NPI assigned
Sep 14, 2011
Last updated
Sep 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
John Knisley
Title
Ass. Pharmacy Director
Phone
(740) 779-8763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 022135850 OH Primary

Addresses

Primary practice location

4439 State Route 159
Suite G40
Chillicothe, OH 45601-8207

Mailing address

4439 State Route 159
Suite G40
Chillicothe, OH 45601-8207
Phone (740) 779-8763

Other identifiers 1

IdentifierTypeStateIssuer
3679911OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Adena Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adena Pharmacy LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4439 State Route 159
Ste G40
Chillicothe, OH 45601
Phone (740) 779-8763

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1326320557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4439 STATE ROUTE 159",
            "address_2": "SUITE G40",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018207",
            "telephone_number": "740-779-8763",
            "fax_number": "740-779-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 STATE ROUTE 159",
            "address_2": "SUITE G40",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018207",
            "telephone_number": "740-779-8763",
            "fax_number": "740-779-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADENA PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "KNISLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ASS. PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "740-779-8763"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "022135850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3679911",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adena Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.