NPIMap

Organization Active NPI

Adena Pharmacy LLC

  • Community/Retail Pharmacy
  • Chillicothe, OH
National Provider Identifier
1437488558
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022135850 Issued in OH
Legal business name
ADENA PHARMACY LLC
Practice address
272 Hospital Rd
Chillicothe, OH 45601-9031
Phone
(740) 779-8761
Fax
(740) 779-8769
NPI assigned
Dec 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Authorized official

Name
Dr. Michael L Johnson, PHARMD.
Title
Outpatient Pharmacy Manager
Phone
(740) 779-8761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 022135850 OH Primary

Addresses

Primary practice location

272 Hospital Rd
Chillicothe, OH 45601-9031

Mailing address

272 Hospital Rd
Chillicothe, OH 45601-9031
Phone (740) 779-8761

Other identifiers 2

IdentifierTypeStateIssuer
0066701MedicaidOH
3678628OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Adena Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1261180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1437488558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019031",
            "telephone_number": "740-779-8761",
            "fax_number": "740-779-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019031",
            "telephone_number": "740-779-8761",
            "fax_number": "740-779-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADENA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-19",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OUTPATIENT PHARMACY MANAGER",
        "authorized_official_telephone_number": "740-779-8761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "022135850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066701",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3678628",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adena Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.