Organization Active NPI

Westgate Family Pharmacy Inc

  • Community/Retail Pharmacy
  • Toledo, OH
National Provider Identifier
1639434103
Registry record updated Oct 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022235850 Issued in OH
Legal business name
WESTGATE FAMILY PHARMACY INC
Practice address
3147 W Central Ave
Toledo, OH 43606-2923
Phone
(419) 470-0700
Fax
(419) 535-0007
NPI assigned
Jul 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2020

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

Authorized official

Name
Najwa KassemNPI 1881723898
Title
Pharmacist/Owner
Phone
(419) 531-0000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 022235850 OH Primary

Addresses

Primary practice location

3147 W Central Ave
Toledo, OH 43606-2923

Mailing address

3147 W Central Ave
Toledo, OH 43606-2923
Phone (419) 531-0000

Other identifiers 2

IdentifierTypeStateIssuer
0070758MedicaidOH
2136333OtherPK

Other names 1

  • Westgate Family Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130222000532 OH Part B Supplier - Mass Immunization (Roster Biller Only) 0840445847 Practice locations: Toledo, OH

National Provider Directory

National Provider Directory

Locations

3147 W Central Ave
Toledo, OH 43606
Phone (419) 470-0700

Practitioners & affiliated clinicians

Practitioners 1

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": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602288000000",
    "number": "1639434103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3147 W CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436062923",
            "telephone_number": "419-531-0000",
            "fax_number": "419-535-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3147 W CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436062923",
            "telephone_number": "419-470-0700",
            "fax_number": "419-535-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTGATE FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2020-10-10",
        "certification_date": "2020-10-10",
        "status": "A",
        "authorized_official_last_name": "KASSEM",
        "authorized_official_first_name": "NAJWA",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "419-531-0000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "022235850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070758",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136333",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westgate Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2020; 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.