NPIMap

Organization Active NPI

Hocks Pharmacy Inc

Doing business as Hocks Charleston Pharmacy

  • Community/Retail Pharmacy
  • S Charleston, OH
National Provider Identifier
1477638070
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HOCKS PHARMACY INC
Doing business as
Hocks Charleston Pharmacy
Practice address
127 S Chillicothe St
S Charleston, OH 45368-9786
Phone
(937) 462-8331
Fax
(937) 462-8441
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Authorized official

Name
Michael J Simon
Title
Controller
Phone
(937) 898-5803

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

127 S Chillicothe St
S Charleston, OH 45368-9786

Mailing address

535 S Dixie Dr
Vandalia, OH 45377-2557
Phone (937) 462-8331

Other identifiers 2

IdentifierTypeStateIssuer
2075666OtherPK
2330098MedicaidOH

Other names 1

  • Hocks Charleston Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110719000464 OH Part B Supplier - Mass Immunization (Roster Biller Only) 5193843944 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: South Charleston, OH; Tipp City, OH; Vandalia, OH

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Hocks Tipp City Pharmacy6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

5175 S County Road 25A
Tipp City, OH 45371
Phone (937) 667-5803

535 S Dixie Dr
Vandalia, OH 45377
Phone (937) 889-2121

41 Elva Ct
Vandalia, OH 45377
Phone (937) 890-0023

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1477638070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S DIXIE DR",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453772557",
            "telephone_number": "937-462-8331",
            "fax_number": "937-462-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S CHILLICOTHE ST",
            "city": "S CHARLESTON",
            "state": "OH",
            "postal_code": "453689786",
            "telephone_number": "937-462-8331",
            "fax_number": "937-462-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOCKS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "937-898-5803"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2075666",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2330098",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hocks Charleston Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in S Charleston, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.

Verify at the official NPI Registry.