P & R Home IV Service Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

02434900 Issued in OH

Legal business name

P & R HOME IV SERVICE INC

Practice address

16937 Defiance Trail
Van Wert, OH 45891

Phone

(800) 587-7670

Fax

(419) 587-3229

NPI assigned

Jan 15, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Robin Sue Farris

Title

Secretary Treasurer

Phone

(419) 587-3349

Specialties & licenses 3

Addresses

Other identifiers 5

Tax ID family

P R Home IV Service Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• P & R Home IV Service, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Defiance, OH
  • NPI 1265857924
  NPD tax ID
• P & R Home IV Service, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Bryan, OH
  • NPI 1730564840
  NPD tax ID
• P & R Home IV Service, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Van Wert, OH
  • NPI 1962817874
  NPD tax ID
• P & R Home IV Service, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Decatur, IN
  • NPI 1467868174
  NPD tax ID

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1578700399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16937 DEFIANCE TRAIL",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "45891",
            "telephone_number": "800-587-7670",
            "fax_number": "419-587-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16937 DEFIANCE TRAIL",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "45891",
            "telephone_number": "800-587-7670",
            "fax_number": "419-587-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & R HOME IV SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "FARRIS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "419-587-3349",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "02434900",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02434900",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "OH",
            "license": "02434900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIODME",
            "identifier": "340835023003",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0631301",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHWOOD NPN",
            "identifier": "53234",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM DME",
            "identifier": "000000155895",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM IV",
            "identifier": "000000224193",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ohio Recovery Center LLC
• Katie Olson, BCBA
• Orthopaedic Institute of Ohio, Inc.
• Marian Owolabi, CNP
• P & R Home IV Service Inc
• P & R Home IV Service, Inc.
• Paul A Palmeter
• Amber Nichole Peters, LPN
• Nicholas John Pfleghaar, D.O.
• Yvonne Kay Phillips, EMT, CDCA

• Community/Retail Pharmacy in Van Wert, OH
• Providers in Van Wert, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.