Organization Active NPI

Windham Pharmacy Inc

Doing business as Windham Pharmacy

  • Community/Retail Pharmacy
  • Windham, OH
National Provider Identifier
1396849352
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020179100 Issued in OH
Legal business name
WINDHAM PHARMACY INC
Doing business as
Windham Pharmacy
Practice address
9650 E Center St
Windham, OH 44288-1050
Phone
(330) 326-3851
Fax
(330) 326-2995
NPI assigned
Sep 12, 2006
Last updated
Nov 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Brent SwipasNPI 1194328401
Title
Owner
Phone
(330) 326-3851

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 020179100 OH Primary

Addresses

Primary practice location

9650 E Center St
Windham, OH 44288-1050

Mailing address

9650 E Center St
Windham, OH 44288-1050
Phone (330) 326-3851

Other identifiers 2

IdentifierTypeStateIssuer
3615993OtherNCPDP PROVIDER IDENTIFICATION NUMBER
0471467MedicaidOH

Other names 1

  • WINDHAM PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

9650 E Center St
Windham, OH 44288
Phone (330) 326-3851

9680 E Center St
Windham, OH 44288
Phone (330) 326-3851

Practitioners & affiliated clinicians

Practitioners 1

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": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1396849352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 E CENTER ST",
            "city": "WINDHAM",
            "state": "OH",
            "postal_code": "442881050",
            "telephone_number": "330-326-3851",
            "fax_number": "330-326-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 E CENTER ST",
            "city": "WINDHAM",
            "state": "OH",
            "postal_code": "442881050",
            "telephone_number": "330-326-3851",
            "fax_number": "330-326-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHAM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "SWIPAS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-326-3851"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "020179100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3615993",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0471467",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WINDHAM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windham, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.