NPIMap

Organization Active NPI

Wyandot Memorial Hospital

  • Community/Retail Pharmacy
  • Carey, OH
National Provider Identifier
1679335202
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WYANDOT MEMORIAL HOSPITAL
Practice address
235 E North St
Carey, OH 43316-1068
Phone
(419) 396-9203
Fax
(419) 396-9233
NPI assigned
Jan 29, 2024
Organization subpart
Yes
Parent organization
WYANDOT MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Ty R Shaull
Title
Ceo
Phone
(419) 294-4991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

235 E North St
Carey, OH 43316-1068

Mailing address

Carey Pharmacy
235 E North St
Carey, OH 43316-1068
Phone (419) 396-9203

Other names 1

  • Carey Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221104000633 OH Part B Supplier - Pharmacy 1557340189 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carey, OH; Forest, OH; Upper Sandusky, OH

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Wynadot Memorial Hospit10 organizations share this tax ID, including this one
Part of
Wynadot Memorial Hospit

Other organizations with this tax ID 9

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

Locations

235 E North St
Carey, OH 43316
Phone (419) 396-9201

107 Houpt Dr
Upper Sandusky, OH 43351
Phone (419) 294-5757

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": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1679335202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CAREY PHARMACY",
            "address_2": "235 E NORTH ST",
            "city": "CAREY",
            "state": "OH",
            "postal_code": "433161068",
            "telephone_number": "419-396-9203",
            "fax_number": "419-396-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E NORTH ST",
            "city": "CAREY",
            "state": "OH",
            "postal_code": "433161068",
            "telephone_number": "419-396-9203",
            "fax_number": "419-396-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYANDOT MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WYANDOT MEMORIAL HOSPITAL",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "SHAULL",
        "authorized_official_first_name": "TY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-294-4991"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carey Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carey Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carey, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.