NPIMap

Organization Active NPI

Bethesda Hospital Inc

Doing business as Bethesda Arrow Springs Pharmacy

  • Community/Retail Pharmacy
  • Lebanon, OH
National Provider Identifier
1497776462
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
CLPH02028030003 Issued in OH
Legal business name
BETHESDA HOSPITAL INC
Doing business as
Bethesda Arrow Springs Pharmacy
Practice address
100 Arrow Springs Blvd
Lebanon, OH 45036-7002
Phone
(513) 282-7020
Fax
(513) 282-7021
NPI assigned
Jul 22, 2006
Last updated
Oct 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Authorized official

Name
Leonard Kaes
Title
Pharmacy Manager
Phone
(513) 872-3550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X CLPH02028030003 OH Primary

Addresses

Primary practice location

100 Arrow Springs Blvd
Lebanon, OH 45036-7002

Mailing address

100 Arrow Springs Blvd
Lebanon, OH 45036-7002
Phone (513) 282-7020

Other identifiers 2

IdentifierTypeStateIssuer
2650091MedicaidOH
2080382OtherPK

Other names 1

  • BETHESDA ARROW SPRINGS PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Theodore J Waller MD18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1497776462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ARROW SPRINGS BLVD",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450367002",
            "telephone_number": "513-282-7020",
            "fax_number": "513-282-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARROW SPRINGS BLVD",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450367002",
            "telephone_number": "513-282-7020",
            "fax_number": "513-282-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "KAES",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "513-872-3550"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "CLPH02028030003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2650091",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2080382",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BETHESDA ARROW SPRINGS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.