Organization Active NPI

Tischbein Apothecary Inc.

  • Community/Retail Pharmacy
  • Cincinnati, OH
National Provider Identifier
1487715470
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020688400 Issued in OH
Legal business name
TISCHBEIN APOTHECARY INC.
Practice address
3500 Erie Avenue
Cincinnati, OH 45208
Phone
(513) 321-9282
Fax
(513) 321-2516
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Authorized official

Name
Mr. Joseph Francis Lutmer, RPH
Title
Pharmacist/Owner
Phone
(513) 321-9282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 020688400 OH Primary

Addresses

Primary practice location

3500 Erie Avenue
Cincinnati, OH 45208

Mailing address

3500 Erie Avenue
Cincinnati, OH 45208
Phone (513) 321-9282

Other identifiers 1

IdentifierTypeStateIssuer
2076695MedicaidOH

Other names 1

  • Tischbein Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201124002501 OH Part B Supplier - Independent Clinical Laboratory 5193136034 Practice locations: Cincinnati, OH
O20211020002236 OH Part B Supplier - Pharmacy 5193136034 Practice locations: Cincinnati, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2190365Tischbein Pharmacy3500 Erie Ave, Cincinnati, OH 45208Certificate of waiverAug 12, 2026

National Provider Directory

National Provider Directory

Locations

3500 Erie Ave
Cincinnati, OH 45208
Phone (513) 321-9282

Practitioners & affiliated clinicians

Practitioners 1

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1487715470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 ERIE AVENUE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45208",
            "telephone_number": "513-321-9282",
            "fax_number": "513-321-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 ERIE AVENUE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45208",
            "telephone_number": "513-321-9282",
            "fax_number": "513-321-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TISCHBEIN APOTHECARY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "LUTMER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "513-321-9282",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "020688400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2076695",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tischbein Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.