Organization Active NPI

RX Institutional Services LLC

  • Long Term Care Pharmacy
  • Boardman, OH
National Provider Identifier
1508053075
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
02-1726050 Issued in OH
Legal business name
RX INSTITUTIONAL SERVICES LLC
Practice address
1419 Boardman Canfield Rd Ste 340
Boardman, OH 44512
Phone
(330) 505-1979
Fax
(330) 505-4178
NPI assigned
Sep 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Mr. Ronald T McDermott Jr., RPH
Title
Vice President
Phone
(724) 699-7328

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 02-1726050 OH Primary

Addresses

Primary practice location

1419 Boardman Canfield Rd Ste 340
Boardman, OH 44512

Mailing address

8571 Foxwood CT Ste a
Poland, OH 44514-4313
Phone (330) 318-3926

Other identifiers 2

IdentifierTypeStateIssuer
02-1726050OtherOHSTATE OF OHIO
2769759MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.thehometownpharmacies.com Stemat Inc.

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091103000181 OH Part B Supplier - Mass Immunization (Roster Biller Only) 9335286822 Practice locations: Boardman, OH
O20100930068397 OH DME Supplier - Pharmacy 9335286822 Practice locations: Boardman, 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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
RX Institutional Services LLC1419 Boardman Canfield Rd, Boardman, OH 44512-8000(330) 505-1979 Epoetin|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches Accepts assignmentParticipating since Sep 8, 2009

National Provider Directory

National Provider Directory

Locations

1419 Boardman Canfield Rd
Ste 340
Boardman, OH 44512
Phone (330) 505-1979

3379 Main St
Ste A
Mineral Ridge, OH 44440
Phone (330) 505-1979

Practitioners & affiliated clinicians

Practitioners 5

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": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1508053075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8571 FOXWOOD CT STE A",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445144313",
            "telephone_number": "330-318-3926",
            "fax_number": "330-318-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 BOARDMAN CANFIELD RD STE 340",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "44512",
            "telephone_number": "330-505-1979",
            "fax_number": "330-505-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX INSTITUTIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "724-699-7328",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "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": "02-1726050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO",
            "identifier": "02-1726050",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2769759",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.thehometownpharmacies.com",
            "affiliation": "Y",
            "endpointDescription": "website",
            "affiliationName": "Stemat Inc.",
            "address_1": "1419 Boardman Canfield Rd Ste 340",
            "city": "Boardman",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.