NPIMap

Organization Active NPI

Lousiville Pharmacy Inc

Doing business as Medicine Center Institutional Pharmacy

  • Long Term Care Pharmacy
  • Louisville, OH
National Provider Identifier
1508009697
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
021948200 Issued in OH
Legal business name
LOUSIVILLE PHARMACY INC
Doing business as
Medicine Center Institutional Pharmacy
Practice address
700 W Main St
Suite a
Louisville, OH 44641-1338
Phone
(330) 875-9090
Fax
(330) 875-3388
NPI assigned
Apr 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Bradley White
Title
Vice President
Phone
(330) 323-8339

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 021948200 OH Primary

Addresses

Primary practice location

700 W Main St
Suite a
Louisville, OH 44641-1338

Mailing address

700 W Main St
Suite a
Louisville, OH 44641-1338
Phone (330) 875-9090

Other identifiers 1

IdentifierTypeStateIssuer
2119973OtherPK

Other names 1

  • Medicine Center Institutional Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Louisville Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

700 W Main St
Ste A
Louisville, OH 44641
Phone (330) 875-9090

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1508009697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W MAIN ST",
            "address_2": "SUITE A",
            "city": "LOUISVILLE",
            "state": "OH",
            "postal_code": "446411338",
            "telephone_number": "330-875-9090",
            "fax_number": "330-875-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W MAIN ST",
            "address_2": "SUITE A",
            "city": "LOUISVILLE",
            "state": "OH",
            "postal_code": "446411338",
            "telephone_number": "330-875-9090",
            "fax_number": "330-875-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUSIVILLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "330-323-8339"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OH",
            "license": "021948200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2119973",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Center Institutional Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.