Organization Active NPI

Pickerington Pharmacy LLC

  • Community/Retail Pharmacy
  • Pickerington, OH
National Provider Identifier
1356488985
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02-618350 Issued in OH
Legal business name
PICKERINGTON PHARMACY LLC
Practice address
641 Hill Rd N
Suite B
Pickerington, OH 43147-9346
Phone
(614) 837-2112
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Authorized official

Name
Dale Lee Schultz, RPH
Title
Owner
Phone
(614) 837-2112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 02-618350 OH Primary

Addresses

Primary practice location

641 Hill Rd N
Suite B
Pickerington, OH 43147-9346

Mailing address

641 Hill Rd N
Suite B
Pickerington, OH 43147-9346
Phone (614) 837-2112

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1356488985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 HILL RD N",
            "address_2": "SUITE B",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479346",
            "telephone_number": "614-837-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 HILL RD N",
            "address_2": "SUITE B",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479346",
            "telephone_number": "614-837-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKERINGTON PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-837-2112",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02-618350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.