Organization Active NPI

Medcentric Pharmacy 2 LLC

Doing business as Medcentric Pharmacy

  • Community/Retail Pharmacy
  • Fairfield, OH
National Provider Identifier
1396310157
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEDCENTRIC PHARMACY 2 LLC
Doing business as
Medcentric Pharmacy
Practice address
5961 Boymel Dr Ste 3
Fairfield, OH 45014-5592
Phone
(513) 499-2818
Fax
(513) 499-2819
NPI assigned
May 24, 2021
Last updated
Jan 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Authorized official

Name
Milan Neopaney
Title
Ceo/Owner
Phone
(717) 327-0253

Specialties & licenses 1

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

Addresses

Primary practice location

5961 Boymel Dr Ste 3
Fairfield, OH 45014-5592

Mailing address

5961 Boymel Dr Ste 3
Fairfield, OH 45014-5592
Phone (513) 499-2818

Other identifiers 1

IdentifierTypeStateIssuer
0458370MedicaidOH

Other names 1

  • Medcentric Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

5961 Boymel Dr
Ste 3
Fairfield, OH 45014
Phone (513) 499-2818

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1396310157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5961 BOYMEL DR STE 3",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145592",
            "telephone_number": "513-499-2818",
            "fax_number": "513-499-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5961 BOYMEL DR STE 3",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145592",
            "telephone_number": "513-499-2818",
            "fax_number": "513-499-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCENTRIC PHARMACY 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "NEOPANEY",
        "authorized_official_first_name": "MILAN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "717-327-0253"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0458370",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medcentric Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.