Organization Active NPI

MBR Pharmacy Inc

  • Community/Retail Pharmacy
  • Columbus, OH
National Provider Identifier
1669498788
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RTP021571750 Issued in OH
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

Updated by the provider on Apr 3, 2013

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

Authorized official

Name
Mary RiegleNPI 1457363558
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2634199MedicaidOH
2080360OtherPK

Other names 1

  • MBR PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.