Organization Active NPI

CR Springfield, LLC

Doing business as Springfield Family Market & Pharmacy

  • Pharmacy
  • Springfield, OH
National Provider Identifier
1649331042
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
CR SPRINGFIELD, LLC
Doing business as
Springfield Family Market & Pharmacy
Practice address
1050 Upper Valley Pike
Springfield, OH 45504-4016
Phone
(937) 322-4005
Fax
(937) 322-8089
NPI assigned
Dec 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Walter Andrew Shuirr III, R.PH.
Title
Pharmacist
Phone
(937) 322-8094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X OH Primary

Addresses

Primary practice location

1050 Upper Valley Pike
Springfield, OH 45504-4016

Mailing address

1050 Upper Valley Pike
Springfield, OH 45504-4016
Phone (937) 322-4005

Other identifiers 1

IdentifierTypeStateIssuer
2498195MedicaidOH

Other names 1

  • Springfield Family Market & Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1050 Upper Valley Pike
Springfield, OH 45504
Phone (937) 322-4005

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649331042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 UPPER VALLEY PIKE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455044016",
            "telephone_number": "937-322-4005",
            "fax_number": "937-322-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 UPPER VALLEY PIKE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455044016",
            "telephone_number": "937-322-4005",
            "fax_number": "937-322-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CR SPRINGFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHUIRR",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "937-322-8094",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2498195",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springfield Family Market & Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.