NPIMap

Organization Active NPI

Knox Community Hospital

  • Long Term Care Pharmacy
  • Mount Vernon, OH
National Provider Identifier
1629639281
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
KNOX COMMUNITY HOSPITAL
Practice address
1451 Yauger Rd
Mount Vernon, OH 43050-8097
Phone
(740) 397-1420
Fax
(740) 397-2454
NPI assigned
Jun 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Danielle O'Brien
Title
Cfo
Phone
(740) 393-9138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1451 Yauger Rd
Mount Vernon, OH 43050-8097

Mailing address

1451 Yauger Rd
Mount Vernon, OH 43050-8097
Phone (740) 397-1420

Other identifiers 1

IdentifierTypeStateIssuer
2640351MedicaidOH

Other names 1

  • KCH Eastside Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1451 Yauger Rd
Ste 1H
Mount Vernon, OH 43050
Phone (740) 397-1420

Practitioners & affiliated clinicians

Practitioners 2

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": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1629639281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 YAUGER RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430508097",
            "telephone_number": "740-397-1420",
            "fax_number": "740-397-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 YAUGER RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430508097",
            "telephone_number": "740-397-1420",
            "fax_number": "740-397-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "740-393-9138"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2640351",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KCH Eastside Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.