Active NPI
RX Institutional Services LLC
- Long Term Care Pharmacy
- Boardman, OH
National Provider Identifier
1508053075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 02-1726050
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02-1726050 | Other | OH | STATE OF OHIO |
| 2769759 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.thehometownpharmacies.com | Stemat Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| RX Institutional Services LLC | Epoetin|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Boardman, OH
- NPI 1477358240
-
- Pharmacist
- Boardman, OH
- NPI 1346813193
-
- Pharmacist
- Boardman, OH
- NPI 1891368551
-
- Pharmacist
- Youngstown, OH
- NPI 1073053328
-
- Pharmacist
- Boardman, OH
- NPI 1013580372
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.