Organization Active NPI

Pharmcare USA of Ohio, LLC

Doing business as Pharmcare USA of Brunswick

  • Long Term Care Pharmacy
  • Brunswick, OH
National Provider Identifier
1669042586
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PHARMCARE USA OF OHIO, LLC
Doing business as
Pharmcare USA of Brunswick
Practice address
1130 Industrial Pkwy N Ste 1
Brunswick, OH 44212-5605
Phone
(866) 219-3619
Fax
(866) 312-4336
NPI assigned
Jul 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Kent Abbott
Title
Manager/Ceo
Phone
(450) 204-9783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1130 Industrial Pkwy N Ste 1
Brunswick, OH 44212-5605

Mailing address

PO Box 10
Hydro, OK 73048-0010
Phone (866) 219-3619

Other names 1

  • Pharmcare USA of Brunswick Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230710003287 OH Part B Supplier - Mass Immunization (Roster Biller Only) 2264890763 1 other NPI on this enrollment
Practice locations: Brunswick, OH; West Chester, OH
O20230711000578 OH DME Supplier - Pharmacy 2264890763 Practice locations: Brunswick, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pharmcare USA of Ohio LLC1130 Industrial Pkwy N, Brunswick, OH 44212-5605(330) 460-5773 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|External Infusion Pumps and/or Supplies|Insulin Infusion Pumps and/or Supplies|Parenteral Equipment and/or Supplies|Nebulizer Equipment and/or … Accepts assignmentParticipating since Apr 30, 2023

National Provider Directory

National Provider Directory
Tax ID family
Pharmcare USA of Brunswick2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1130 Industrial Pkwy N
Ste 1
Brunswick, OH 44212
Phone (330) 460-5773

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": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1669042586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "HYDRO",
            "state": "OK",
            "postal_code": "730480010",
            "telephone_number": "866-219-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 INDUSTRIAL PKWY N STE 1",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442125605",
            "telephone_number": "866-219-3619",
            "fax_number": "866-312-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMCARE USA OF OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "MANAGER/CEO",
        "authorized_official_telephone_number": "450-204-9783"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmcare USA of Brunswick",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pharmcare USA of Brunswick",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brunswick, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.