NPIMap

Organization Active NPI

Kaup Pharmacy Inc

  • Long Term Care Pharmacy
  • Fort Recovery, OH
National Provider Identifier
1609378611
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
64000258A Issued in IN
Legal business name
KAUP PHARMACY INC
Practice address
102 N Wayne St
Fort Recovery, OH 45846-8059
Phone
(419) 375-2323
Fax
(419) 375-4488
NPI assigned
Mar 6, 2018
Last updated
Sep 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Jason Andrews
Title
President
Phone
(419) 375-2323

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 020170400 OH
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU
Long Term Care Pharmacy 3336L0003X 64000258A IN Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

102 N Wayne St
Fort Recovery, OH 45846-8059

Mailing address

PO Box 605
Fort Recovery, OH 45846-0605
Phone (419) 375-2323

Other identifiers 3

IdentifierTypeStateIssuer
100377670AMedicaidIN
2175835OtherPK
0439243MedicaidOH

Other names 1

  • Kaup Pharmacy Long Term Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Kaup Pharmacy Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1609378611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 605",
            "city": "FORT RECOVERY",
            "state": "OH",
            "postal_code": "458460605",
            "telephone_number": "419-375-2323",
            "fax_number": "419-375-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N WAYNE ST",
            "city": "FORT RECOVERY",
            "state": "OH",
            "postal_code": "458468059",
            "telephone_number": "419-375-2323",
            "fax_number": "419-375-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUP PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-375-2323"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "OH",
            "license": "020170400",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IN",
            "license": "64000258A",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100377670A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175835",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0439243",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaup Pharmacy Long Term Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Recovery, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.