Organization Active NPI

Bartleys Discount Pharmacy Inc

Doing business as Bartleys Discount Pharmacy

  • Community/Retail Pharmacy
  • Waverly, OH
National Provider Identifier
1396756953
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020125000 Issued in OH
Legal business name
BARTLEYS DISCOUNT PHARMACY INC
Doing business as
Bartleys Discount Pharmacy
Practice address
302 E Emmitt Ave
Waverly, OH 45690-1338
Phone
(740) 947-2126
Fax
(740) 947-4149
NPI assigned
Aug 10, 2006
Last updated
Feb 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Tom Bartley, RPH
Title
Owner, Pic
Phone
(740) 947-2126

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 020125000 OH Primary

Addresses

Primary practice location

302 E Emmitt Ave
Waverly, OH 45690-1338

Mailing address

302 E Emmitt Ave
Waverly, OH 45690-1338
Phone (740) 947-2126

Other identifiers 2

IdentifierTypeStateIssuer
0639616MedicaidOH
2076736OtherPK

Other names 1

  • BARTLEYS DISCOUNT PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

302 E Emmitt Ave
Waverly, OH 45690
Phone (740) 370-8662

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1396756953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E EMMITT AVE",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456901338",
            "telephone_number": "740-947-2126",
            "fax_number": "740-947-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E EMMITT AVE",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456901338",
            "telephone_number": "740-947-2126",
            "fax_number": "740-947-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTLEYS DISCOUNT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "BARTLEY",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "OWNER, PIC",
        "authorized_official_telephone_number": "740-947-2126",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "020125000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0639616",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2076736",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BARTLEYS DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waverly, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.