Organization Active NPI

Pharmacy Counter, LLC

Doing business as ProMedical Home Medical Equipment Fostoria

  • Durable Medical Equipment & Medical Supplies
  • Fostoria, OH
National Provider Identifier
1568784254
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PHARMACY COUNTER, LLC
Doing business as
ProMedical Home Medical Equipment Fostoria
Practice address
601 Parkway Dr
Fostoria, OH 44830-1592
Phone
(419) 436-0004
Fax
(419) 436-8190
NPI assigned
Feb 22, 2010
Last updated
Jan 10, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
PROMEDICA CONTINUING CARE SERVICES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Authorized official

Name
Gladeen Roberts
Title
President
Phone
(419) 824-7427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

601 Parkway Dr
Fostoria, OH 44830-1592

Mailing address

601 Parkway Dr
Fostoria, OH 44830-1592
Phone (419) 436-0004

Other identifiers 1

IdentifierTypeStateIssuer
3099123MedicaidOH

Other names 1

  • ProMedical Home Medical Equipment Fostoria Doing business as

National Provider Directory

National Provider Directory
Part of
Promedica Continuing Care Services Corp

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

601 Parkway Dr
Fostoria, OH 44830
Phone (419) 435-7734

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1568784254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PARKWAY DR",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "448301592",
            "telephone_number": "419-436-0004",
            "fax_number": "419-436-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PARKWAY DR",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "448301592",
            "telephone_number": "419-436-0004",
            "fax_number": "419-436-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY COUNTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROMEDICA CONTINUING CARE SERVICES INC.",
        "enumeration_date": "2010-02-22",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "GLADEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-824-7427"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3099123",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedical Home Medical Equipment Fostoria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fostoria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.