NPIMap

Organization Active NPI

Ross Park Pharmacy Inc

  • Community/Retail Pharmacy
  • Steubenville, OH
National Provider Identifier
1619186483
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02-1701800 Issued in OH
Legal business name
ROSS PARK PHARMACY INC
Practice address
4100 Johnson Rd
Suite #105
Steubenville, OH 43952-2300
Phone
(740) 264-8222
Fax
(740) 264-8233
NPI assigned
May 21, 2007
Last updated
May 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Gerald Warren John, R.PH.
Title
Executive Director
Phone
(740) 264-8669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 02-1701800 OH Primary

Addresses

Primary practice location

4100 Johnson Rd
Suite #105
Steubenville, OH 43952-2300

Mailing address

4100 Johnson Rd
Suite #105
Steubenville, OH 43952-2300
Phone (740) 264-8222

Other identifiers 1

IdentifierTypeStateIssuer
02-1701800OtherOHTERM DIST DANGEROUS DRUGS

Other names 1

  • Ross Park Pharmacy West Other name

National Provider Directory

National Provider Directory
Tax ID family
Ross Park Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

4100 Johnson Rd
Ste 105
Steubenville, OH 43952
Phone (740) 264-8222

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1619186483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 JOHNSON RD",
            "address_2": "SUITE #105",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522300",
            "telephone_number": "740-264-8222",
            "fax_number": "740-264-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 JOHNSON RD",
            "address_2": "SUITE #105",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522300",
            "telephone_number": "740-264-8222",
            "fax_number": "740-264-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS PARK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "740-264-8669",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02-1701800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TERM DIST DANGEROUS DRUGS",
            "identifier": "02-1701800",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ross Park Pharmacy West",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Steubenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.