Organization Active NPI

S&R Arcanum Pharmacy

  • Pharmacist
  • Arcanum, OH
National Provider Identifier
1417150640
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
S&R ARCANUM PHARMACY
Practice address
605 N Main St
Arcanum, OH 45304-1401
Phone
(937) 692-5167
NPI assigned
Jun 6, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Stephen Paul Bonfiglio
Title
Owner
Phone
(937) 692-5167

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X OH Primary

Addresses

NPPES NPI Registry

Primary practice location

605 N Main St
Arcanum, OH 45304-1401

Mailing address

605 N Main St
Arcanum, OH 45304-1401
Phone (937) 692-5167

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417150640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N MAIN ST",
            "city": "ARCANUM",
            "state": "OH",
            "postal_code": "453041401",
            "telephone_number": "937-692-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N MAIN ST",
            "city": "ARCANUM",
            "state": "OH",
            "postal_code": "453041401",
            "telephone_number": "937-692-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&R ARCANUM PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BONFIGLIO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-692-5167"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcanum, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.