Active NPI
Pierson Pharmacy Group, LLC
- Pharmacy
- Mount Orab, OH
National Provider Identifier
1508611005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- PIERSON PHARMACY GROUP, LLC
- Practice address
- 155 N Point Dr
Mount Orab, OH 45154-8366 - Phone
- (937) 205-8778
- NPI assigned
- Apr 19, 2024
- 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
- Devin Pierson, PHARMD, RPH
- Title
- Owner
- Phone
- (937) 205-8778
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
155 N Point Dr
Mount Orab, OH 45154-8366
Mailing address
7929 Swartz Rd
Lynchburg, OH 45142-8154
Phone (937) 205-8778
Other names 1
- Kratzer's Hometown Pharmacy Mount Orab
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251103000621 | OH | Part B Supplier - Mass Immunization (Roster Biller Only) | 7618466269 | Practice locations: Mount Orab, OH |
National Provider Directory
National Provider Directory- Tax ID family
- Pierson Pharmacy Group LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Lynchburg, OH
- NPI 1003661406
-
- Long Term Care Pharmacy
- Mount Orab, OH
- NPI 1619722113
-
- Long Term Care Pharmacy
- Lynchburg, OH
- NPI 1821843228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713484800000",
"number": "1508611005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7929 SWARTZ RD",
"city": "LYNCHBURG",
"state": "OH",
"postal_code": "451428154",
"telephone_number": "937-205-8778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 N POINT DR",
"city": "MOUNT ORAB",
"state": "OH",
"postal_code": "451548366",
"telephone_number": "937-205-8778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIERSON PHARMACY GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-19",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A",
"authorized_official_last_name": "PIERSON",
"authorized_official_first_name": "DEVIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "937-205-8778",
"authorized_official_credential": "PHARMD, RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kratzer's Hometown Pharmacy Mount Orab",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kratzer's Hometown Pharmacy Mount Orab",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mount Orab, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.