Organization Active NPI

Neidig Pharmacy Group LLC

  • Long Term Care Pharmacy
  • New Philadelphia, OH
National Provider Identifier
1659356509
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
022283800 Issued in OH
Legal business name
NEIDIG PHARMACY GROUP LLC
Doing business as
Medi-Wise Long Term Care Pharmacy
Practice address
130 1/2 W High Ave
New Philadelphia, OH 44663-3802
Phone
(330) 365-1526
Fax
(330) 365-1513
NPI assigned
Dec 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Kevin Neidig, BSPHNPI 1598740433
Title
President/Ceo
Phone
(330) 827-8125

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 022283800 OH Primary

Addresses

Primary practice location

130 1/2 W High Ave
New Philadelphia, OH 44663-3802

Mailing address

PO Box 190
New Philadelphia, OH 44663-0190
Phone (740) 492-0191

Other identifiers 1

IdentifierTypeStateIssuer
2143749OtherPK

Other names 1

  • Medi-Wise Long Term Care Pharmacy Doing business as

National Provider Directory

National Provider Directory

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": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1659356509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446630190",
            "telephone_number": "740-492-0191",
            "fax_number": "740-492-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 1/2 W HIGH AVE",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446633802",
            "telephone_number": "330-365-1526",
            "fax_number": "330-365-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIDIG PHARMACY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "NEIDIG",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "330-827-8125",
        "authorized_official_credential": "BSPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OH",
            "license": "022283800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143749",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi-Wise Long Term Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Philadelphia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.