Active NPI
Mah Pharmacy, L.L.C.
- Mail Order Pharmacy
- Fairfield, OH
National Provider Identifier
1447548524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mail Order Pharmacy
- Legal business name
- MAH PHARMACY, L.L.C.
- Practice address
- 4867 Dixie Highway
Fairfield, OH 45014 - Phone
- (844) 601-5877
- Fax
- (513) 858-4818
- NPI assigned
- Jul 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Peppers
- Title
- Assistant Secretary
- Phone
- (636) 335-1719
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mail Order Pharmacy | 3336M0002X | Primary |
Addresses
Primary practice location
4867 Dixie Highway
Fairfield, OH 45014
Mailing address
1 Express Way
Saint Louis, MO 63121-1824
Phone (800) 332-5455
Other names 2
- CHD Pharmacy
- Evernorth EnGuide Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250415002625 | OH | Part B Supplier - Pharmacy | 8426573122 | Practice locations: Fairfield, OH |
National Provider Directory
National Provider Directory- Tax ID family
- CHD Pharmacy
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Fairfield, OH
- NPI 1578376026
-
- Mail Order Pharmacy
- Saint Louis, MO
- NPI 1700374808
-
- Pharmacy
- Saint Louis, MO
- NPI 1700690161
Locations
4867 Dixie Hwy
Fairfield, OH 45014
Phone (513) 858-4803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751846400000",
"number": "1447548524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EXPRESS WAY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631211824",
"telephone_number": "800-332-5455",
"fax_number": "800-417-8163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4867 DIXIE HIGHWAY",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "45014",
"telephone_number": "844-601-5877",
"fax_number": "513-858-4818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAH PHARMACY, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-11",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A",
"authorized_official_last_name": "PEPPERS",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "636-335-1719"
},
"taxonomies": [
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CHD Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Evernorth EnGuide Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.