NPIMap

Organization Active NPI

Discount Drug Mart Inc

  • Community/Retail Pharmacy
  • Willowick, OH
National Provider Identifier
1336175686
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020625300 Issued in OH
Legal business name
DISCOUNT DRUG MART INC
Practice address
34100 Vine St
Willowick, OH 44095-5108
Phone
(440) 942-3330
Fax
(440) 942-5016
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Laura Taylor, CPHT
Title
Pharmacy Coordinator
Phone
(330) 725-2340

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 020625300 OH Primary

Addresses

Primary practice location

34100 Vine St
Willowick, OH 44095-5108

Mailing address

211 Commerce Dr
Medina, OH 44256-1331
Phone (330) 725-2340

Other identifiers 2

IdentifierTypeStateIssuer
2071777OtherPK
0797044MedicaidOH

Other names 1

  • DISCOUNT DRUG MART Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040820000066 OH Part B Supplier - Mass Immunization (Roster Biller Only) 4587638168 This NPI is an additional NPI on the enrollment
O20100930025858 OH DME Supplier - Pharmacy 4587638168 Practice locations: Willowick, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1051072Discount Drug Mart #3634100 Vine Street, Eastlake, OH 44095Certificate of waiverFeb 20, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Discount Drug Mart No 3634100 Vine St, Willowick, OH 44095-5108(440) 942-3330 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Orthoses: Off-The-Shelf|Urological Supp… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Drug Mart Pharmacy84 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1336175686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 COMMERCE DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561331",
            "telephone_number": "330-725-2340",
            "fax_number": "330-764-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34100 VINE ST",
            "city": "WILLOWICK",
            "state": "OH",
            "postal_code": "440955108",
            "telephone_number": "440-942-3330",
            "fax_number": "440-942-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOUNT DRUG MART INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PHARMACY COORDINATOR",
        "authorized_official_telephone_number": "330-725-2340",
        "authorized_official_credential": "CPHT"
    },
    "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": "020625300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2071777",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0797044",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DISCOUNT DRUG MART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willowick, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.

Verify at the official NPI Registry.