Medtime Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PMY.022610900 Issued in OH

Legal business name

MEDTIME PHARMACY LLC

Doing business as

MedTime Pharmacy

Practice address

400 12TH St NW
Canton, OH 44703-1809

Phone

(234) 410-3366

Fax

(234) 410-3221

NPI assigned

May 13, 2016

Organization subpart

No

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

Authorized official

Name

Tamer Ibrahim, RPH

Title

Owner, Pic, Ao

Phone

(330) 412-7442

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MedTime Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Tax ID family

Medtime Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Medtime Pharmacy LLC

  • Long Term Care Pharmacy
  • Canton, OH
  • NPI 1538760624
  NPD tax ID

Locations

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1407202914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 12TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447031809",
            "telephone_number": "234-410-3366",
            "fax_number": "234-410-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 12TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447031809",
            "telephone_number": "234-410-3366",
            "fax_number": "234-410-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTIME PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "TAMER",
        "authorized_official_title_or_position": "OWNER, PIC, AO",
        "authorized_official_telephone_number": "330-412-7442",
        "authorized_official_credential": "RPH"
    },
    "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": "PMY.022610900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164413",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedTime Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedTime Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meckler Dental Providers (Belden), Inc.
• Med-a-Lift Inc
• Joseph Francis Medina, D.C.
• Victoria Gem Medla
• Medliftrides LLC
• Medtime Pharmacy LLC
• Meek Caring Hands
• Jenna Meeks
• Margo M Meeks, QMHS
• Shericka Meeks

• Community/Retail Pharmacy in Canton, OH
• Providers in Canton, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.