Active NPI
MBR Pharmacy Inc
- Community/Retail Pharmacy
- Columbus, OH
National Provider Identifier
1669498788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- RTP021571750
- Legal business name
- MBR PHARMACY INC
- Doing business as
- MBR PHARMACY INC
- Practice address
- 421 Georgesville Rd
Columbus, OH 43228-2420 - Phone
- (614) 279-9368
- Fax
- (614) 279-9404
- NPI assigned
- Jul 14, 2006
- 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
- Mary Riegle
- Title
- PRST Owner and Pharmacist
- Phone
- (614) 203-2301
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X | RTP021571750 | OH | Primary |
Addresses
Primary practice location
421 Georgesville Rd
Columbus, OH 43228-2420
Mailing address
4600 Arrowhead Rd
Powell, OH 43065-8949
Phone (614) 203-2301
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2634199 | Medicaid | OH | |
| 2080360 | Other | PK |
Other names 1
- MBR PHARMACY INC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Columbus, OH
- NPI 1457363558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364947200000",
"number": "1669498788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 ARROWHEAD RD",
"city": "POWELL",
"state": "OH",
"postal_code": "430658949",
"telephone_number": "614-203-2301",
"fax_number": "614-792-0483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 GEORGESVILLE RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432282420",
"telephone_number": "614-279-9368",
"fax_number": "614-279-9404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MBR PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-14",
"last_updated": "2013-04-03",
"status": "A",
"authorized_official_last_name": "RIEGLE",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "PRST OWNER AND PHARMACIST",
"authorized_official_telephone_number": "614-203-2301"
},
"taxonomies": [
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OH",
"license": "RTP021571750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2634199",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2080360",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MBR PHARMACY INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.