Pharmacy Specialty Group, LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

SP 022216250 Issued in OH

Legal business name

PHARMACY SPECIALTY GROUP, LLC

Practice address

6910 Treeline Dr Ste G
Brecksville, OH 44141

Phone

(440) 623-7100

NPI assigned

Jul 30, 2012

Organization subpart

No

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

Authorized official

Name

Mr. David J Coury

Title

Member

Phone

(216) 390-5830

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel James Seighman, RPH

  • Geriatric Pharmacist
  • Tiffin, OH
  • NPI 1629314570
  NPD (past)

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1669728473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 TREELINE DR STE G",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413366",
            "telephone_number": "440-623-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 TREELINE DR STE G",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "44141",
            "telephone_number": "440-623-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY SPECIALTY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "COURY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "216-390-5830",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "OH",
            "license": "SP 022216250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "SP 022216250",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Pavel
• Kathleen Rose Penman, APNP
• Carla J. Penner, LPCC
• Alexandria Pete
• Michael William Petrasek, PSYCHOLOGIST
• Pharmacy Specialty Group, LLC
• Philip J. Dickey, O.D., Inc.
• Taryn Marie Phillips-Smith
• Physicians Ambulance Service Inc
• Nicole M. Piatak, LPCC

• Specialty Pharmacy in Brecksville, OH
• Providers in Brecksville, OH by specialty
• Specialty Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.