Wittenauer Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WITTENAUER PHARMACY

Practice address

120 S Main St
Poland, OH 44514-2023

Phone

(330) 757-4066

Fax

(330) 757-6070

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Michael Gomez, RPH.

Title

Pharmacist in Charge

Phone

(330) 757-4033

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Deborah Gomez

  • Pharmacist
  • Pittsburgh, PA
  • NPI 1437814977
  NPD

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1467598110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S MAIN ST",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445142023",
            "telephone_number": "330-757-4066",
            "fax_number": "330-757-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S MAIN ST",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445142023",
            "telephone_number": "330-757-4066",
            "fax_number": "330-757-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITTENAUER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "330-757-4033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9595326",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Anne Depietro Williams, PT
• Keith A Wilson, M.D.
• Jeffrey Lawrance Wiltrout, LSW
• James Joseph Wiscott Sr., MA, RBT
• Devin Wade Witt, P.T.
• Kathleen W Wolanin, DMD
• Ashley M Woodland, LISW
• Matthew Woolford
• Lyn E Yakubov, M.D.
• Francis Paul Yanek, D.C.

• Community/Retail Pharmacy in Poland, OH
• Providers in Poland, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.