Organization Active NPI

Ziks Family Pharmacy Inc 102

Doing business as Ziks Family Pharmacy #102

  • Durable Medical Equipment & Medical Supplies
  • Dayton, OH
National Provider Identifier
1336476308
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ZIKS FAMILY PHARMACY INC 102
Doing business as
Ziks Family Pharmacy #102
Practice address
1120 W 3Rd St
Dayton, OH 45402-6834
Phone
(937) 278-9457
Fax
(937) 275-5703
NPI assigned
Nov 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Nnodum Iheme
Title
Owner
Phone
(937) 278-9457

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Community/Retail Pharmacy 3336C0003X 021990900
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1120 W 3Rd St
Dayton, OH 45402-6834

Mailing address

1130 W 3Rd St
Dayton, OH 45402-6812
Phone (937) 278-9457

Other identifiers 1

IdentifierTypeStateIssuer
3678426OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • ZIKS FAMILY PHARMACY #102 Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1336476308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 W 3RD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454026812",
            "telephone_number": "937-278-9457",
            "fax_number": "937-275-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W 3RD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454026834",
            "telephone_number": "937-278-9457",
            "fax_number": "937-275-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIKS FAMILY PHARMACY INC 102",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "IHEME",
        "authorized_official_first_name": "NNODUM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-278-9457"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": "021990900",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3678426",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ZIKS FAMILY PHARMACY #102",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.