City of Cincinnati

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

020345000 Issued in OH

Legal business name

CITY OF CINCINNATI

Doing business as

Elm Street Health Center Pharmacy

Practice address

1525 Elm St
Cincinnati, OH 45202-6957

Phone

(513) 352-3094

Fax

(513) 352-2920

NPI assigned

Oct 24, 2006

Last updated

Feb 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Quentin Norman, PHARMDNPI 1750754651

Title

Director of Pharmacy

Phone

(513) 352-3801

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ELM STREET HEALTH CENTER PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

All facility ownership & control disclosures 20

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Quentin Norman

  • Pharmacist
  • Cincinnati, OH
  • NPI 1750754651
  Authorized official Same address or phone

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1538243787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 ELM ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452026957",
            "telephone_number": "513-352-3094",
            "fax_number": "513-352-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 ELM ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452026957",
            "telephone_number": "513-352-3094",
            "fax_number": "513-352-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CINCINNATI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "QUENTIN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "513-352-3801",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "OH",
            "license": "020345000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2073788",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0511753",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELM STREET HEALTH CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic Pharmacy in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Clinic Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.