Active NPI
Westgate Family Pharmacy Inc
- Community/Retail Pharmacy
- Toledo, OH
National Provider Identifier
1639434103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 022235850
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Najwa Kassem
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0070758 | Medicaid | OH | |
| 2136333 | Other | PK |
Other names 1
- Westgate Family Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130222000532 | OH | Part B Supplier - Mass Immunization (Roster Biller Only) | 0840445847 | Practice locations: Toledo, OH |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Toledo, OH
- NPI 1881723898
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.