NPIMap

Organization Active NPI

Hocks Pharmacy Inc

Doing business as Hocks Tipp City Pharmacy

  • Community/Retail Pharmacy
  • Tipp City, OH
National Provider Identifier
1386088003
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022293300 Issued in OH
Legal business name
HOCKS PHARMACY INC
Doing business as
Hocks Tipp City Pharmacy
Practice address
5175 S County Road 25a
Tipp City, OH 45371
Phone
(937) 667-5803
Fax
(937) 898-9340
NPI assigned
Apr 24, 2013
Organization subpart
No

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
Jeffrey R Bartone, PHARMD
Title
President
Phone
(937) 898-5803

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 022293300 OH Primary

Addresses

Primary practice location

5175 S County Road 25a
Tipp City, OH 45371

Mailing address

535 S Dixie Dr
Vandalia, OH 45377-2557
Phone (937) 898-5803

Other identifiers 1

IdentifierTypeStateIssuer
022293300OtherOHPHARMACY LICENSE

Other names 1

  • Hocks Tipp City Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110719000464 OH Part B Supplier - Mass Immunization (Roster Biller Only) 5193843944 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: South Charleston, OH; Tipp City, OH; Vandalia, OH

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Hocks Tipp City Pharmacy6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1386088003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S DIXIE DR",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453772557",
            "telephone_number": "937-898-5803",
            "fax_number": "937-898-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 S COUNTY ROAD 25A",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "45371",
            "telephone_number": "937-667-5803",
            "fax_number": "937-898-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOCKS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BARTONE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-898-5803",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "022293300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "022293300",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hocks Tipp City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tipp City, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.