Organization Active NPI

Ags Holding LLC

  • Community/Retail Pharmacy
  • Perrysburg, OH
National Provider Identifier
1619218229
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022300350 Issued in OH
Legal business name
AGS HOLDING LLC
Practice address
25684 Dixie Hwy
Perrysburg, OH 43551-2019
Phone
(419) 874-8878
Fax
(419) 874-8898
NPI assigned
Mar 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Lap Pan Chu, PHARMDNPI 1821379389
Title
Owner
Phone
(419) 699-5539

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 022300350 OH Primary

Addresses

Primary practice location

25684 Dixie Hwy
Perrysburg, OH 43551-2019

Mailing address

25684 Dixie Hwy
Perrysburg, OH 43551-2019
Phone (419) 874-8878

Other identifiers 1

IdentifierTypeStateIssuer
2139167OtherPK

Other names 1

  • Anson Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

25684 Dixie Hwy
Perrysburg, OH 43551
Phone (419) 287-7088

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1619218229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25684 DIXIE HWY",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512019",
            "telephone_number": "419-874-8878",
            "fax_number": "419-874-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25684 DIXIE HWY",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512019",
            "telephone_number": "419-874-8878",
            "fax_number": "419-874-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGS HOLDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "LAP PAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-699-5539",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "022300350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139167",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anson Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.