Organization Active NPI

King'S Pharmacy

  • Pharmacy
  • Liberty Township, OH
National Provider Identifier
1568955136
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
0232000006 Issued in OH
Legal business name
KING'S PHARMACY
Practice address
7043 Yankee Rd
Liberty Township, OH 45044
Phone
(513) 804-3266
NPI assigned
Jun 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Authorized official

Name
Tatum King, PHARMDNPI 1972086189
Title
Owner
Phone
(513) 804-3266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 0232000006 OH Primary

Addresses

Primary practice location

7043 Yankee Rd
Liberty Township, OH 45044

Mailing address

7043 Yankee Rd
Liberty Township, OH 45044-9132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241114003470 OH Part B Supplier - Pharmacy 5799020285 Practice locations: Liberty Township, OH

National Provider Directory

National Provider Directory

Locations

7043 Yankee Rd
Liberty Township, OH 45044
Phone (513) 222-7721

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1568955136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7043 YANKEE RD",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450449132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7043 YANKEE RD",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "45044",
            "telephone_number": "513-804-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "TATUM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-804-3266",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "0232000006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.

Verify at the official NPI Registry.