Independent Pharmacy Group Inc
Organization Active NPI Community/Retail Pharmacy · North Lima, OH
NPI 1629106984 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1629106984
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- INDEPENDENT PHARMACY GROUP INC
- Practice address
- 11740 South Ave
North Lima, OH 44452-0301 - Phone
- (330) 549-2620
- Fax
- (330) 549-0042
- NPI assigned
- Mar 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Gary Evankovich, RPH
- Title
- President
- Phone
- (330) 549-2620
Practitioners 2
-
John Anthony Petracci, R.PH
-
Gary Alan Evankovich, RPH
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 21277850 | OH | |
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
11740 South Ave
North Lima, OH 44452-0301
Mailing address
PO Box 301
11740 South Ave
North Lima, OH 44452-0301
Phone (330) 549-2620
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0718772 | Medicaid | OH | |
| 3623522 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names
- NORTH LIMA PHARMACY
Other providers in North Lima, OH
- Marcia Hawkins
- Jillian Elise Hoffman
- Nicholas Hrelec Jr.
- Andi Hrusovsky
- Adrian Ieraci
- Ivy Woods Center for Living LLC
- Deena Jones
- Muhannad Kassawat
- Vilmary Kausits
- Legacy Christian Home Healthcare
All providers in North Lima, OH · Community/Retail Pharmacy in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.