NPIMap

Organization Active NPI

Kratzer's Pharmacy, Inc.

Doing business as Kratzer's Hometown Pharmacy

  • Pharmacist
  • Blanchester, OH
National Provider Identifier
1619972189
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
KRATZER'S PHARMACY, INC.
Doing business as
Kratzer's Hometown Pharmacy
Practice address
912 Cherry St
Blanchester, OH 45107-1318
Phone
(937) 783-5444
Fax
(937) 783-5446
NPI assigned
Jun 20, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark A Kratzer
Title
Owner
Phone
(937) 783-5444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X OH Primary

Addresses

Primary practice location

912 Cherry St
Blanchester, OH 45107-1318

Mailing address

912 Cherry St
Blanchester, OH 45107-1318
Phone (937) 783-5444

Other identifiers 1

IdentifierTypeStateIssuer
2496642MedicaidOH

Other names 1

  • Kratzer's Hometown Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kratzer Pharmacy Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

912 Cherry St
Blanchester, OH 45107
Phone (937) 783-5444

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619972189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 CHERRY ST",
            "city": "BLANCHESTER",
            "state": "OH",
            "postal_code": "451071318",
            "telephone_number": "937-783-5444",
            "fax_number": "937-783-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 CHERRY ST",
            "city": "BLANCHESTER",
            "state": "OH",
            "postal_code": "451071318",
            "telephone_number": "937-783-5444",
            "fax_number": "937-783-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRATZER'S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRATZER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-783-5444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2496642",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kratzer's Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blanchester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.