NPIMap

Organization Active NPI

Ohio Intake Pharmacy 3 LLC

  • Community/Retail Pharmacy
  • Hamilton, OH
National Provider Identifier
1356010904
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
OHIO INTAKE PHARMACY 3 LLC
Practice address
6 S 2ND St Ste 507
Hamilton, OH 45011-2866
Phone
(650) 353-5495
NPI assigned
Sep 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Paul James Greenall
Title
Ceo, Ao
Phone
(855) 910-8606

Specialties & licenses 1

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

Addresses

Primary practice location

6 S 2ND St Ste 507
Hamilton, OH 45011-2866

Mailing address

3121 Diablo Ave
Hayward, CA 94545-2701
Phone (855) 910-8606

National Provider Directory

National Provider Directory
Tax ID family
Ohio Intake Pharmacy 3 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

6 S 2nd St
Ste 507
Hamilton, OH 45011

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1356010904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 DIABLO AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452701",
            "telephone_number": "855-910-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 S 2ND ST STE 507",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450112866",
            "telephone_number": "650-353-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO INTAKE PHARMACY 3 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "GREENALL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO, AO",
        "authorized_official_telephone_number": "855-910-8606"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.