Organization Active NPI

Mys LLC

  • Community/Retail Pharmacy
  • Hamilton, OH
National Provider Identifier
1639316243
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
64001787A Issued in IN
Legal business name
MYS LLC
Practice address
2449 Ross Millville Rd
Ste 185
Hamilton, OH 45013-8951
Phone
(513) 863-8000
Fax
(513) 863-8001
NPI assigned
Jan 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Authorized official

Name
Kara Rolfes, PHARMDNPI 1396227062
Title
Pharmacist
Phone
(513) 863-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X OH2024 KY
Community/Retail Pharmacy 3336C0003X 64001787A IN Primary
Compounding Pharmacy 3336C0004X 021877750 OH

Addresses

Primary practice location

2449 Ross Millville Rd
Ste 185
Hamilton, OH 45013-8951

Mailing address

2449 Ross Millville Rd
Ste 185
Hamilton, OH 45013-8951
Phone (513) 863-8000

Other identifiers 3

IdentifierTypeStateIssuer
2118499OtherPK
200929330AMedicaidIN
2923519MedicaidOH

Other names 1

  • HealingSprings Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091211000448 OH Part B Supplier - Mass Immunization (Roster Biller Only) 7618017211 Practice locations: Hamilton, OH

National Provider Directory

National Provider Directory

Locations

2449 Ross Millville Rd
Ste 185
Hamilton, OH 45013
Phone (513) 863-8000

Practitioners & affiliated clinicians

Practitioners 3

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": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1639316243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 ROSS MILLVILLE RD",
            "address_2": "STE 185",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450138951",
            "telephone_number": "513-863-8000",
            "fax_number": "513-863-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 ROSS MILLVILLE RD",
            "address_2": "STE 185",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450138951",
            "telephone_number": "513-863-8000",
            "fax_number": "513-863-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "ROLFES",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "513-863-8000",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "OH2024",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "64001787A",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "OH",
            "license": "021877750",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118499",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200929330A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2923519",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealingSprings Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.