Organization Active NPI

Ohm Speciality Pharmacy LLC

  • Community/Retail Pharmacy
  • Saginaw, MI
National Provider Identifier
1477878718
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009061 Issued in MI
Legal business name
OHM SPECIALITY PHARMACY LLC
Practice address
316 S 4TH Ave
Saginaw, MI 48607-1602
Phone
(989) 758-6000
Fax
(989) 758-6001
NPI assigned
Mar 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Bharti Patel
Title
President
Phone
(336) 918-6353

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301009061 MI Primary
Compounding Pharmacy 3336C0004X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

316 S 4TH Ave
Saginaw, MI 48607-1602

Mailing address

316 S 4TH Ave
Saginaw, MI 48607-1602
Phone (989) 758-6000

Other identifiers 1

IdentifierTypeStateIssuer
2124147OtherPK

Other names 1

  • Downs Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110825000522 MI DME Supplier - Pharmacy 9830369032 Practice locations: Saginaw, MI
O20200824001875 MI Part B Supplier - Mass Immunization (Roster Biller Only) 9830369032 Practice locations: Saginaw, MI

National Provider Directory

National Provider Directory
Tax ID family
Downs Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1477878718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S 4TH AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486071602",
            "telephone_number": "989-758-6000",
            "fax_number": "989-758-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S 4TH AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486071602",
            "telephone_number": "989-758-6000",
            "fax_number": "989-758-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHM SPECIALITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BHARTI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-918-6353"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009061",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2124147",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downs Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.