Organization Active NPI

Fields Family Enterprise, Inc

  • Pharmacist
  • Waynesville, OH
National Provider Identifier
1477555373
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
02-565750 Issued in OH
Legal business name
FIELDS FAMILY ENTERPRISE, INC
Practice address
415 S Main St
Waynesville, OH 45068-9553
Phone
(513) 897-7076
Fax
(513) 897-1446
NPI assigned
Aug 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Ellen Linda Fields, PHARM.D..
Title
Vice-President
Phone
(513) 897-7076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 02-565750 OH Primary

Addresses

Primary practice location

415 S Main St
Waynesville, OH 45068-9553

Mailing address

415 S Main St
P.O. Box 636
Waynesville, OH 45068-9553
Phone (513) 897-7076

Other identifiers 1

IdentifierTypeStateIssuer
0721268MedicaidOH

Other names 1

  • Waynesville Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477555373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S MAIN ST",
            "address_2": "P.O. BOX 636",
            "city": "WAYNESVILLE",
            "state": "OH",
            "postal_code": "450689553",
            "telephone_number": "513-897-7076",
            "fax_number": "513-897-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S MAIN ST",
            "city": "WAYNESVILLE",
            "state": "OH",
            "postal_code": "450689553",
            "telephone_number": "513-897-7076",
            "fax_number": "513-897-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIELDS FAMILY ENTERPRISE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "LINDA",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "513-897-7076",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM.D.."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "02-565750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0721268",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waynesville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.