City of Cincinnati

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

020253100 Issued in OH

Legal business name

CITY OF CINCINNATI

Doing business as

Braxton Cann Medical Center Pharmacy

Practice address

5818 Madison Rd
Cincinnati, OH 45227-1708

Phone

(513) 263-8760

Fax

(513) 263-8787

NPI assigned

Oct 25, 2006

Last updated

Feb 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Quentin Norman, PHARMD

Title

Director of Pharmacy

Phone

(513) 352-3801

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BRAXTON CANN MEDICAL CENTER PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Tax ID family

Cincinnati Health Dept44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

Organizations that report the same tax identification number in the National Provider Directory.

• Cincinnati Health Department

  • Community Health Clinic/Center
  • Cincinnati, OH
  • NPI 1215475819
  NPD tax ID
• City of Cincinnati

  dba Oyler Community Learning Center

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1043594260
  NPD tax ID
• City of Cincinnati

  dba Northside Health Center Pharmacy

  • Clinic Pharmacy
  • Cincinnati, OH
  • NPI 1063591949
  NPD tax ID
• City of Cincinnati

  dba Cincinnati Health Dept Crest Smile Shoppe

  • Primary Care Clinic/Center
  • Cincinnati, OH
  • NPI 1073836789
  NPD tax ID
• City of Cincinnati

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1073836797
  NPD tax ID
• City of Cincinnati

  dba Cincinnati Fire Department

  • Ambulance
  • Cincinnati, OH
  • NPI 1083626873
  NPD tax ID
• City of Cincinnati

  dba Western Hills Campus dba Deaconess Health Check at Western Hills

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1083960736
  NPD tax ID
• City of Cincinnati

  • Primary Care Clinic/Center
  • Cincinnati, OH
  • NPI 1093728248
  NPD tax ID
• City of Cincinnati

  dba Cincinnati Health Dept Ambrose H Clement Health Center

  • Primary Care Clinic/Center
  • Cincinnati, OH
  • NPI 1164745873
  NPD tax ID
• City of Cincinnati

  • Primary Care Clinic/Center
  • Cincinnati, OH
  • NPI 1164745881
  NPD tax ID
• City of Cincinnati

  dba Riverview East Academy

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1194139287
  NPD tax ID
• City of Cincinnati

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1245553965
  NPD tax ID

All facility ownership & control disclosures 20

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1457435190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5818 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271708",
            "telephone_number": "513-263-8760",
            "fax_number": "513-263-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5818 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271708",
            "telephone_number": "513-263-8760",
            "fax_number": "513-263-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CINCINNATI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "QUENTIN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "513-352-3801",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "OH",
            "license": "020253100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2074381",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0274966",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRAXTON CANN MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of Cincinnati
• City of Cincinnati
• City of Cincinnati (Withrow High School)
• City of Cincinnati
• City of Cincinnati (John P. Parker Elementary)
• City of Cincinnati (City of Cincinnati - Elm St Health Center)
• City of Cincinnati (Ambrose Clement Health Center Pharmacy)
• City of Cincinnati (CityLink Center)
• City of Cincinnati (City of Cincinnati - Primary Care-Price Hill Health Center)
• City of Cincinnati (Elm Street Health Center Pharmacy)

• Clinic Pharmacy in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Clinic Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.