Organization Active NPI

Kuszmaul Pharmacy, Inc.

  • Pharmacist
  • Niles, OH
National Provider Identifier
1487622999
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
KUSZMAUL PHARMACY, INC.
Practice address
41 S Main St
Niles, OH 44446-5011
Phone
(330) 652-4327
Fax
(330) 544-1503
NPI assigned
Mar 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Gary Michael Kuszmaul
Title
Owner
Phone
(330) 652-4327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X OH Primary

Addresses

Primary practice location

41 S Main St
Niles, OH 44446-5011

Mailing address

41 S Main St
Niles, OH 44446-5011
Phone (330) 652-4327

Other identifiers 2

IdentifierTypeStateIssuer
3644095OtherOHNAPB
0599080MedicaidOH

National Provider Directory

National Provider Directory

Locations

41 S Main St
Niles, OH 44446
Phone (330) 652-4327

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487622999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 S MAIN ST",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444465011",
            "telephone_number": "330-652-4327",
            "fax_number": "330-544-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 S MAIN ST",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444465011",
            "telephone_number": "330-652-4327",
            "fax_number": "330-544-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUSZMAUL PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUSZMAUL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-652-4327"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAPB",
            "identifier": "3644095",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0599080",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, 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.