Organization Active NPI

City of Cincinnati

Doing business as Ambrose Clement Health Center Pharmacy

  • Clinic Pharmacy
  • Cincinnati, OH
National Provider Identifier
1477112308
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
CITY OF CINCINNATI
Doing business as
Ambrose Clement Health Center Pharmacy
Practice address
3559 Reading Road
Suite 101
Cincinnati, OH 45229
Phone
(513) 316-6817
NPI assigned
Jun 13, 2019
Last updated
Apr 8, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CITY OF CINCINNATIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Mr. Domonic M Hopson, MPH
Title
Ceo/Asst Health Commissioner
Phone
(513) 357-7361

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Clinic Pharmacy 3336C0002X NU Primary

Addresses

Primary practice location

3559 Reading Road
Suite 101
Cincinnati, OH 45229

Mailing address

3559 Reading Rd Ste 101
Cincinnati, OH 45229-2689
Phone (513) 357-7403

Other names 1

  • Ambrose Clement Health Center Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201214002831 OH Part B Supplier - Pharmacy 3476467804 Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory
Tax ID family
Roberts Paideia Academy44 organizations share this tax ID, including this one
Part of
Roberts Paideia Academy

Other organizations with this tax ID 43

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

View all 43

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 27)

1005 Walnut St
Cincinnati, OH 45202
Phone (513) 221-4949

1668 Blue Rock St
Cincinnati, OH 45223
Phone (513) 541-9646

18 E Seymour Ave
Cincinnati, OH 45216
Phone (513) 948-9731

2000 Radcliff Dr
Cincinnati, OH 45204
Phone (513) 357-7511

2058 Sutton Ave
Cincinnati, OH 45230
Phone (513) 231-9830

2101 W 8th St
Cincinnati, OH 45204
Phone (513) 921-9722

2121 Hatmaker St
Cincinnati, OH 45204
Phone (513) 357-2808

2131 State Ave
Cincinnati, OH 45214
Phone (513) 921-9811

2411 Baltimore Ave
Cincinnati, OH 45225
Phone (513) 357-7208

2487 Harrison Ave
Cincinnati, OH 45211
Phone (513) 661-9868

2731 Erie Ave
Cincinnati, OH 45208
Phone (513) 871-9940

3001 Spring Grove Ave
Cincinnati, OH 45225
Phone (513) 541-9640

301 Ludlow Ave
Cincinnati, OH 45220
Phone (513) 961-9320

310 Lilienthal St
Cincinnati, OH 45204
Phone (513) 921-9690

329 E 9th St
Cincinnati, OH 45202
Phone (513) 721-9509

4379 Reading Rd
Cincinnati, OH 45229
Phone (513) 641-0181

4401 Marburg Ave
Cincinnati, OH 45209
Phone (513) 871-9947

4526 Glenway Ave
Cincinnati, OH 45205
Phone (513) 921-9720

478 Wilmer Ave
Cincinnati, OH 45226
Phone (513) 871-9923

564 W Liberty St
Cincinnati, OH 45214
Phone (513) 721-9233

5801 Hamilton Ave
Cincinnati, OH 45224
Phone (513) 541-9644

5901 Montgomery Rd
Cincinnati, OH 45213
Phone (513) 531-9486

5917 Prentice St
Cincinnati, OH 45227
Phone (513) 271-9754

650 Forest Ave
Cincinnati, OH 45229
Phone (513) 281-9239

6558 Parkland Ave
Cincinnati, OH 45233
Phone (513) 941-9841

Ownership & related parties

All facility ownership & control disclosures 20

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

FacilityTypeRoleSince
City of Cincinnati-Braxton Cann Memorial Medical CenterCincinnati, OH, CCN 361954 Federally qualified health center Operational/Managerial Control Jul 15, 2009
City of Cincinnati Primary Care-Millvale @Hopple Health CenterCincinnati, OH, CCN 361955 Federally qualified health center Operational/Managerial Control Jul 15, 2009
Northside Health CenterCincinnati, OH, CCN 361956 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1970
Ambrose H. Clement Health CenterCincinnati, OH, CCN 361957 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1980
Crest Smile ShoppeCincinnati, OH, CCN 361958 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1980
City of CincinnatiCincinnati, OH, CCN 361803 Federally qualified health center Operational/Managerial Control Jul 15, 2010
Price Hill Health CenterCincinnati, OH, CCN 361816 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 16, 1976
Cincinnati Health Department - John P. Parker SBHCCincinnati, OH, CCN 361068 Federally qualified health center Operational/Managerial Control Jan 12, 2006
Cincinnati Health Department - Riverview East SBHCCincinnati, OH, CCN 361066 Federally qualified health center Operational/Managerial Control (100%) Jan 12, 2006
Cincinnati Health Department - Mt Airy SBHCCincinnati, OH, CCN 361067 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 12, 2006
Cincinnati Health Department - the Children's Home of CincinnatiCincinnati, OH, CCN 361110 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jun 1, 2016
Jan 12, 2006
Cincinnati Health Department - Taft High SchoolCincinnati, OH, CCN 361111 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jan 12, 2006
Jan 12, 2006
Roll Hill AcademyCincinnati, OH, CCN 361145 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2017
Oyler Community Learning CenterCincinnati, OH, CCN 361146 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2017
City of CincinnatiCincinnati, OH, CCN 361151 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2017
Roberts PaideiaCincinnati, OH, CCN 361153 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2017
Ethel M Taylor AcademyCincinnati, OH, CCN 361152 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2017
Cincinnati Health Department - Deaconess Health Check at Western HillsCincinnati, OH, CCN 361167 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Aug 1, 2012
Jan 12, 2006
Cincinnati Health Department - Withrow High SchoolCincinnati, OH, CCN 361168 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jan 12, 2006
Jan 12, 2006
Cincinnati Health Department - Academy of World Languages SBHCCincinnati, OH, CCN 361169 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jan 12, 2006
Jan 12, 2006

Practitioners & affiliated clinicians

Practitioners 49

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.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1477112308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3559 READING RD STE 101",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452292689",
            "telephone_number": "513-357-7403",
            "fax_number": "513-357-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3559 READING ROAD",
            "address_2": "SUITE 101",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45229",
            "telephone_number": "513-316-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CINCINNATI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF CINCINNATI",
        "enumeration_date": "2019-06-13",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "HOPSON",
        "authorized_official_first_name": "DOMONIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/ASST HEALTH COMMISSIONER",
        "authorized_official_telephone_number": "513-357-7361",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambrose Clement Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.