Organization Active NPI

Mechanicsburg Druggist LLC

  • Community/Retail Pharmacy
  • Mechanicsburg, OH
National Provider Identifier
1447397443
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020394900 Issued in OH
Legal business name
MECHANICSBURG DRUGGIST LLC
Practice address
26 S Main St
Mechanicsburg, OH 43044-1111
Phone
(937) 834-2270
Fax
(937) 834-3906
NPI assigned
Jan 30, 2007
Organization subpart
Yes
Parent organization
OHIO APOTHECARIES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Authorized official

Name
Lonnie J Craft, RPH
Title
Managing Member
Phone
(614) 573-1557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 020394900 OH Primary

Addresses

Primary practice location

26 S Main St
Mechanicsburg, OH 43044-1111

Mailing address

PO Box 126
Plain City, OH 43064-0126
Phone (614) 573-1557

Other identifiers 1

IdentifierTypeStateIssuer
0386195MedicaidOH

National Provider Directory

National Provider Directory
Part of
Karl Road Druggist LLC

Locations

26 S Main St
Mechanicsburg, OH 43044
Phone (937) 834-2270

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1447397443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430640126",
            "telephone_number": "614-573-1557",
            "fax_number": "614-300-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 S MAIN ST",
            "city": "MECHANICSBURG",
            "state": "OH",
            "postal_code": "430441111",
            "telephone_number": "937-834-2270",
            "fax_number": "937-834-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECHANICSBURG DRUGGIST LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OHIO APOTHECARIES LLC",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "CRAFT",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "614-573-1557",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "020394900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0386195",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.