Organization Active NPI

Waso Healthcare LLC

Doing business as Middletown Pharmacy

  • Community/Retail Pharmacy
  • Middletown, OH
National Provider Identifier
1588860266
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02226650 Issued in OH
Legal business name
WASO HEALTHCARE LLC
Doing business as
Middletown Pharmacy
Practice address
4421 Roosevelt Blvd
Ste H
Middletown, OH 45044-9023
Phone
(513) 705-6252
Fax
(513) 705-6253
NPI assigned
Jun 21, 2007
Last updated
Jul 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Wael Khalifa
Title
Owner,Ao
Phone
(513) 705-6252

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 02226650 OH Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

4421 Roosevelt Blvd
Ste H
Middletown, OH 45044-9023

Mailing address

4421 Roosevelt Blvd
Ste H
Middletown, OH 45044-9023
Phone (513) 705-6252

Other identifiers 2

IdentifierTypeStateIssuer
2135001OtherPK
1822487MedicaidOH

Other names 1

  • MIDDLETOWN PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

4421 Roosevelt Blvd
Ste H
Middletown, OH 45044
Phone (513) 705-6252

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1588860266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 ROOSEVELT BLVD",
            "address_2": "STE H",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450449023",
            "telephone_number": "513-705-6252",
            "fax_number": "513-705-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 ROOSEVELT BLVD",
            "address_2": "STE H",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450449023",
            "telephone_number": "513-705-6252",
            "fax_number": "513-705-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASO HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "KHALIFA",
        "authorized_official_first_name": "WAEL",
        "authorized_official_title_or_position": "OWNER,AO",
        "authorized_official_telephone_number": "513-705-6252"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02226650",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1822487",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDDLETOWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.