Mediserv Town Street Pharmacy

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

MEDISERV TOWN STREET PHARMACY

Practice address

867 W Town St
Columbus, OH 43222-1647

Phone

(614) 461-1859

Fax

(614) 461-1022

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Tracy Hammond

Title

Tird Party Admin

Phone

(614) 481-4272

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1487732996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 W TOWN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 W TOWN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221647",
            "telephone_number": "614-461-1859",
            "fax_number": "614-461-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISERV TOWN STREET PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "TIRD PARTY ADMIN",
        "authorized_official_telephone_number": "614-481-4272"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3656216",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0853572",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalia Guadalupe Medina Mendoza, LSW
• Mediserv Cleveland Phcy Inc
• Mediserv Duxberry Phcy Inc
• Mediserv Murray Hill Phcy Inc
• Mediserv Short North Phcy Inc
• David William Medley, FNP
• Sattyn Chanel Medley
• Taraniesha Medley
• Tracie Medley
• Medlink LLC

• Clinic Pharmacy in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinic Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.