Organization Active NPI

Medtime Pharmacy LLC

Doing business as MedTime Pharmacy LTC

  • Long Term Care Pharmacy
  • Canton, OH
National Provider Identifier
1538760624
Registry record updated Apr 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MEDTIME PHARMACY LLC
Doing business as
MedTime Pharmacy LTC
Practice address
400 12TH St NW
Address Line 2
Canton, OH 44703
Phone
(234) 410-3366
NPI assigned
Nov 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2025

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

Authorized official

Name
Tamer Ibrahim
Title
President
Phone
(330) 412-7442

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

400 12TH St NW
Address Line 2
Canton, OH 44703

Mailing address

400 12TH St NW
Address Line 2
Canton, OH 44703
Phone (234) 410-3366

Other names 1

  • MedTime Pharmacy LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medtime Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

400 12th St NW
#2
Canton, OH 44703
Phone (234) 410-3366

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744502400000",
    "number": "1538760624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 12TH ST NW",
            "address_2": "ADDRESS LINE 2",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44703",
            "telephone_number": "234-410-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 12TH ST NW",
            "address_2": "ADDRESS LINE 2",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44703",
            "telephone_number": "234-410-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTIME PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2025-04-13",
        "certification_date": "2025-04-13",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "TAMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-412-7442"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedTime Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2025; 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.