NPIMap

Organization Active NPI

Lorain County Health & Dentistry

  • Community/Retail Pharmacy
  • Elyria, OH
National Provider Identifier
1619687787
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LORAIN COUNTY HEALTH & DENTISTRY
Practice address
801 Middle Ave.
Elyria, OH 44035-5850
Phone
(440) 240-1655
Fax
(440) 240-1663
NPI assigned
Nov 30, 2022
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Lisa M. Hemker
Title
Cfo
Phone
(440) 240-1655

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 22

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

View all 22

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230608001963 OH Part B Supplier - Pharmacy 9234047853 Practice locations: Elyria, OH

National Provider Directory

National Provider Directory
Tax ID family
Lorain County Health Denti26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Locations

801 Middle Ave
Elyria, OH 44035
Phone (440) 240-2121

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

NPPES NPI Registry

Primary practice location

801 Middle Ave.
Elyria, OH 44035-5850

Mailing address

1205 Broadway Ave.
Lorain, OH 44052-3409

Other names 1

NPPES NPI Registry
  • LCH&D Pharmacy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 30, 2022.

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1619687787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 BROADWAY AVE.",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440523409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MIDDLE AVE.",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440355850",
            "telephone_number": "440-240-1655",
            "fax_number": "440-240-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORAIN COUNTY HEALTH & DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "HEMKER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "440-240-1655"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LCH&D Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.