Organization Active NPI

Adena Pharmacy LLC

Doing business as Adena Cancer Center Pharmacy

  • Community/Retail Pharmacy
  • Chillicothe, OH
National Provider Identifier
1659647170
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
SP022178500 Issued in OH
Legal business name
ADENA PHARMACY LLC
Doing business as
Adena Cancer Center Pharmacy
Adena Specialty and Home Delivery Pharmacy
Practice address
272 Hospital Rd Ste G30
Chillicothe, OH 45601-9031
Phone
(740) 542-6337
Fax
(740) 779-8291
NPI assigned
Mar 29, 2012
Last updated
Apr 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Authorized official

Name
Michael Johnson
Title
Outpatient Pharmacy Director
Phone
(740) 542-3040

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X SP022178500 OH Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

272 Hospital Rd Ste G30
Chillicothe, OH 45601-9031

Mailing address

272 Hospital Rd Ste G30
Chillicothe, OH 45601-9031
Phone (740) 542-6337

Other identifiers 2

IdentifierTypeStateIssuer
0067053MedicaidOH
2134248OtherPK

Other names 2

  • Adena Cancer Center Pharmacy Doing business as
  • Adena Specialty and Home Delivery Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151130000818 OH DME Supplier - Pharmacy 0749580587 Practice locations: Chillicothe, OH

National Provider Directory

National Provider Directory
Tax ID family
Adena Pharmacy LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

272 Hospital Rd
Ste G30
Chillicothe, OH 45601
Phone (740) 542-6337

4435 State Route 159
Chillicothe, OH 45601
Phone (740) 542-3030

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1659647170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL RD STE G30",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019031",
            "telephone_number": "740-542-6337",
            "fax_number": "740-779-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL RD STE G30",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019031",
            "telephone_number": "740-542-6337",
            "fax_number": "740-779-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADENA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OUTPATIENT PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "740-542-3040"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "SP022178500",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0067053",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134248",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adena Cancer Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adena Specialty and Home Delivery Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.