Active NPI
Pemco Pharmacy
- Community/Retail Pharmacy
- Centerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- CLPH 022117850
- Legal business name
- PEMCO PHARMACY
- Practice address
- 1550 Yankee Park PL
Centerville, OH 45458-1868 - Phone
- (937) 439-4949
- Fax
- (937) 439-4948
- NPI assigned
- May 18, 2011
- Last updated
- May 18, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard M Donnini, D.O.
- Title
- President
- Phone
- (937) 439-4949
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | CLPH 022117850 | OH | Primary |
Addresses
Primary practice location
1550 Yankee Park PL
Centerville, OH 45458-1868
Mailing address
1550 Yankee Park PL
Centerville, OH 45458-1868
Phone (937) 439-4949
National Provider Directory
National Provider Directory- Tax ID family
- Pain Evaluation Manageme
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pain Medicine Physician
- Centerville, OH
- NPI 1811940182
-
- Clinical Medical Laboratory
- Washington Township, OH
- NPI 1194357814
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Interventional Pain Medicine Physician
- Centerville, OH
- NPI 1316912413
-
- Pain Medicine Physician
- Dayton, OH
- NPI 1467488296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305676800000",
"number": "1619260049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 YANKEE PARK PL",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454581868",
"telephone_number": "937-439-4949",
"fax_number": "937-439-4948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 YANKEE PARK PL",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454581868",
"telephone_number": "937-439-4949",
"fax_number": "937-439-4948"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEMCO PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-18",
"last_updated": "2011-05-18",
"status": "A",
"authorized_official_last_name": "DONNINI",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "937-439-4949",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OH",
"license": "CLPH 022117850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.