Organization Active NPI

3-Bar Inc

Doing business as Buckeye Pharmacy

  • Community/Retail Pharmacy
  • Canfield, OH
National Provider Identifier
1447396106
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02-0958000 Issued in OH
Legal business name
3-BAR INC
Doing business as
Buckeye Pharmacy
Practice address
12 N Broad St
Canfield, OH 44406-1127
Phone
(330) 533-3549
Fax
(330) 533-8709
NPI assigned
Jan 29, 2007
Last updated
Jul 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Mr. Charles Bradley Bartels
Title
Owner
Phone
(330) 533-3549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 02-0958000 OH Primary

Addresses

Primary practice location

12 N Broad St
Canfield, OH 44406-1127

Mailing address

12 N Broad St
Canfield, OH 44406-1127
Phone (330) 533-3549

Other identifiers 1

IdentifierTypeStateIssuer
2026720MedicaidOH

Other names 1

  • Buckeye Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

12 N Broad St
Canfield, OH 44406
Phone (230) 533-3549

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1447396106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 N BROAD ST",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061127",
            "telephone_number": "330-533-3549",
            "fax_number": "330-533-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N BROAD ST",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061127",
            "telephone_number": "330-533-3549",
            "fax_number": "330-533-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3-BAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "BARTELS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-533-3549",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02-0958000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2026720",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckeye Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.