Organization Active NPI

Community and Rural Health Services, Inc.

Doing business as Community Health Services Pharmacy

  • Pharmacy
  • Fremont, OH
National Provider Identifier
1609614601
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
COMMUNITY AND RURAL HEALTH SERVICES, INC.
Doing business as
Community Health Services Pharmacy
Practice address
2221 Hayes Ave
Fremont, OH 43420-2632
Phone
(419) 334-8943
NPI assigned
Jul 16, 2024
Last updated
Sep 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY AND RURAL HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Joseph Liszak
Title
Ceo
Phone
(419) 334-8943

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

2221 Hayes Ave
Fremont, OH 43420-2632

Mailing address

2221 Hayes Ave
Fremont, OH 43420-2632

Other names 1

  • Community Health Services Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Rural HLTH SV9 organizations share this tax ID, including this one
Part of
Community Rural HLTH SV

Other organizations with this tax ID 8

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

Locations

2221 Hayes Ave
Fremont, OH 43420
Phone (419) 334-3869

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1609614601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 HAYES AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 HAYES AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202632",
            "telephone_number": "419-334-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY AND RURAL HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY AND RURAL HEALTH SERVICES, INC.",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "LISZAK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-334-8943"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Services Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.