NPIMap

Organization Active NPI

Community Action Agency of Columbiana County, Inc

Doing business as Caa Pharmacy: Lisbon

  • Community/Retail Pharmacy
  • Lisbon, OH
National Provider Identifier
1689484511
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY, INC
Doing business as
Caa Pharmacy: Lisbon
Practice address
7880 Lincole PL
Lisbon, OH 44432-8322
Phone
(330) 870-1145
Fax
(330) 870-0450
NPI assigned
Jan 13, 2025
Last updated
May 7, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
David John Hudoba, PHARMDNPI 1801457379
Title
Pharmacy Manager
Phone
(330) 724-5471

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

7880 Lincole PL
Lisbon, OH 44432-8322

Mailing address

7880 Lincole PL
Lisbon, OH 44432-8322

Other identifiers 1

IdentifierTypeStateIssuer
0232000517OtherOHOHIO BOARD OF PHARMACY LICENSE NUMBER

Other names 1

  • CAA PHARMACY: LISBON Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lisbon Community HLTH C7 organizations share this tax ID, including this one
Part of
Lisbon Community HLTH C

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1689484511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7880 LINCOLE PL",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444328322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7880 LINCOLE PL",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444328322",
            "telephone_number": "330-870-1145",
            "fax_number": "330-870-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY, INC",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "HUDOBA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "330-724-5471",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF PHARMACY LICENSE NUMBER",
            "identifier": "0232000517",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAA PHARMACY: LISBON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lisbon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.