Memorial Hospital of Union County

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEMORIAL HOSPITAL OF UNION COUNTY

Doing business as

Dave's Pharmacy

Practice address

411 W 5TH St
Marysville, OH 43040-1019

Phone

(937) 644-1322

NPI assigned

Jul 13, 2020

Last updated

Jul 12, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

MEMORIAL HOSPITAL OF UNION COUNTYAs reported in NPPES

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

Authorized official

Name

Jeff Ehlers

Title

VP/Cfo

Phone

(937) 578-2344

Specialties & licenses 1

Addresses

Other names 1

• Dave's Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Memorial Hospital of Union County

  dba Memorial Urgent Care

  • Urgent Care Clinic/Center
  • Marysville, OH
  • NPI 1093763757

  3577551621

  Same PAC ID
• Memorial Hospital of Union County

  dba Memorial Hospital

  • General Acute Care Hospital
  • Marysville, OH
  • NPI 1720159338

  3577551621

  Same PAC ID
• Memorial Hospital of Union County

  • Orthopaedic Surgery Physician
  • Marysville, OH
  • NPI 1821279936

  3577551621

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Charles B Mills Center

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Cardinal Health 132, LLC

  dba Blue Robin Pharmacy

  • Community/Retail Pharmacy
  • Dublin, OH
  • NPI 1871125542

  Member Of

  NPD member
• Union County

  dba Union County Health Department

  • Community Health Clinic/Center
  • Marysville, OH
  • NPI 1104875541

  Member Of

  NPD member
• Cardinal Health Pharmacy Services, LLC

  dba Mountain Laurel Community Pharmacy

  • Community/Retail Pharmacy
  • Oakland, MD
  • NPI 1013386663

  Member Of

  NPD member

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

• Health Partners Limited

  • Occupational Medicine Clinic/Center
  • Marysville, OH
  • NPI 1134243322

  Member Of

  NPD member
• Memorial Hospital of Union County

  • Psychiatric Hospital Unit
  • Marysville, OH
  • NPI 1588739338

  Member Of

  NPD member
• Union County Physician Corporation

  • Otolaryngology Physician
  • Marysville, OH
  • NPI 1992941108

  Member Of

  NPD member

Locations

Practitioners 60

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.

• Joel D Ascher, MD

  • Emergency Medicine Physician
  • Columbus, OH
  • NPI 1790949337
  NPD
• Seth Delton Benge, APRNCNP

  • Family Nurse Practitioner
  • Gahanna, OH
  • NPI 1801404207
  NPD
• Alan Jacob Boucher, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Marysville, OH
  • NPI 1477998052
  NPD
• Megan K. Busellato, PA-C

  • Physician Assistant
  • Columbus, OH
  • NPI 1285106278
  NPD
• Amy Cohagan, DO

  • Emergency Medicine Physician
  • Westerville, OH
  • NPI 1669471934
  NPD
• Douglas Eisenbrown, NP

  • Family Nurse Practitioner
  • Mount Vernon, OH
  • NPI 1720550304
  NPD
• Debra Lee Gardner, CNP

  • Family Nurse Practitioner
  • Westerville, OH
  • NPI 1811144835
  NPD
• Morgan T. Harmeyer, CNP

  • Family Nurse Practitioner
  • Marysville, OH
  • NPI 1205377033
  NPD
• Kevin P Henzel, MD

  • Internal Medicine Physician
  • Marysville, OH
  • NPI 1851384846
  NPD
• Ethan William Hines, M.D.

  • Family Medicine Physician
  • Piqua, OH
  • NPI 1578756169
  NPD
• Kirk A Hummer, C.N.P.

  • Nurse Practitioner
  • Westerville, OH
  • NPI 1285897561
  NPD
• Mackenzie Hurley, CNP

  • Family Nurse Practitioner
  • Westerville, OH
  • NPI 1922776764
  NPD

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1407474844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W 5TH ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401019",
            "telephone_number": "937-644-1322",
            "fax_number": "937-644-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W 5TH ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401019",
            "telephone_number": "937-644-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL OF UNION COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL HOSPITAL OF UNION COUNTY",
        "enumeration_date": "2020-07-13",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "EHLERS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "937-578-2344"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dave's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dave's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medical Care of Marysville, LLC
• Joseph Melchi, DNP, CRNA
• Erin Brooke Mellick, OTR/L
• Memorial Hospital of Union County (Memorial Urgent Care)
• Memorial Hospital of Union County (Memorial Hospital Home Health)
• Memorial Hospital of Union County
• Memorial Hospital of Union County (Memorial Hospital)
• Memorial Hospital of Union County
• Danielle Mendiola
• Christina Metzger, LISW

• Community/Retail Pharmacy in Marysville, OH
• Providers in Marysville, 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 Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.