Progressive Wellness Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PROGRESSIVE WELLNESS PHARMACY LLC

Practice address

7640 Sylvania Ave Ste C-1
Sylvania, OH 43560-9263

Phone

(419) 749-3193

Fax

(419) 299-0030

NPI assigned

Dec 30, 2020

Organization subpart

No

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

Authorized official

Name

Hussein Haidar, PHARMDNPI 1205230273

Title

Pharmacist in Charge

Phone

(419) 540-9988

Specialties & licenses 1

Addresses

Other names 1

• Progressive Wellness Pharmacy Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hussein Haidar, PHARM.D

  • Pharmacist
  • Toledo, OH
  • NPI 1205230273
  NPD Authorized official
• Fatimah Farhat

  • Pharmacist
  • Detroit, MI
  • NPI 1538618764
  NPD

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1508453077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 SYLVANIA AVE STE C-1",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 SYLVANIA AVE STE C-1",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609263",
            "telephone_number": "419-749-3193",
            "fax_number": "419-299-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE WELLNESS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "HAIDAR",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "419-540-9988",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Wellness Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Progressive Wellness Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Price Management LLC.
• Primary Care Center Inc
• Andrea C Prinstein, OD
• Progressive Individual Care
• Progressive Wellness Imaging
• Promedica Central Physicians
• Promedica Central Physicians
• Promedica Central Physicians
• Promedica Central Physicians
• Promedica Central Physicians LLC

• Community/Retail Pharmacy in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.