Clinical Apothecaries, Inc.

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

02-1146750 Issued in OH

Legal business name

CLINICAL APOTHECARIES, INC.

Practice address

4087 Medina Rd
Suite 200
Medina, OH 44256-5946

Phone

(330) 721-7949

Fax

(330) 721-9420

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Jeffrey A. Potter, R.PH.

Title

Pharmacist in Charge

Phone

(330) 721-7949

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clinical Apothecaries Doing business as

Locations

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1548489396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4087 MEDINA RD",
            "address_2": "SUITE 200",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565946",
            "telephone_number": "330-721-7949",
            "fax_number": "330-721-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4087 MEDINA RD",
            "address_2": "SUITE 200",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565946",
            "telephone_number": "330-721-7949",
            "fax_number": "330-721-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL APOTHECARIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "330-721-7949",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "OH",
            "license": "02-1146750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP#",
            "identifier": "3667598",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Apothecaries",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Compounding Pharmacy in Medina, OH
• Providers in Medina, OH by specialty
• Compounding Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.