NPIMap

Organization Active NPI

Children's Hospital Medical Center

  • Community/Retail Pharmacy
  • Cincinnati, OH
National Provider Identifier
1346388378
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02-0040400 Issued in OH
Legal business name
CHILDREN'S HOSPITAL MEDICAL CENTER
Practice address
3333 Burnet Avenue
Cincinnati, OH 45229-3039
Phone
(513) 636-4225
Fax
(513) 636-2511
NPI assigned
Feb 2, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILDREN'S HOSPITAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mrs. Jodianne Broomall
Title
Sr Director Billing & Coding Serv
Phone
(513) 636-5047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 02-0040400 OH Primary

Addresses

Primary practice location

3333 Burnet Avenue
Cincinnati, OH 45229-3039

Mailing address

3337 Solutions Center
Box 773337
Chicago, IL 60677-3003
Phone (513) 636-4225

Other identifiers 6

IdentifierTypeStateIssuer
54021670MedicaidKY
200046400AMedicaidIN
0173998003MedicaidWV
02-32000233OtherOHLICENSE
2800017MedicaidOH
3629219OtherNCPDP

Other names 1

  • Children's Hospital Medical Center - Retail Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
CHMC Professional Busin14 organizations share this tax ID, including this one
Part of
CHMC Professional Busin

Other organizations with this tax ID 13

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

View all 13

Locations

3337 Solutions Ctr
#773337
Chicago, IL 60677

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1346388378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3337 SOLUTIONS CENTER",
            "address_2": "BOX 773337",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606773003",
            "telephone_number": "513-636-4225",
            "fax_number": "513-636-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVENUE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293039",
            "telephone_number": "513-636-4225",
            "fax_number": "513-636-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S HOSPITAL MEDICAL CENTER",
        "enumeration_date": "2007-02-02",
        "last_updated": "2023-03-07",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "BROOMALL",
        "authorized_official_first_name": "JODIANNE",
        "authorized_official_title_or_position": "SR DIRECTOR BILLING & CODING SERV",
        "authorized_official_telephone_number": "513-636-5047",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02-0040400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54021670",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200046400A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0173998003",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "02-32000233",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2800017",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3629219",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Hospital Medical Center - Retail Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Children's Hospital Medical Center - Retail Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.