Dayton Home Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

HMER22204 Issued in OH

Legal business name

DAYTON HOME MEDICAL LLC

Doing business as

Clarks Mr Prescription

Practice address

7682 McEwen Rd
Centerville, OH 45459

Phone

(937) 291-9554

Fax

(937) 291-9569

NPI assigned

Aug 14, 2006

Last updated

Apr 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nick Kalogeras

Title

VP

Phone

(614) 294-1600

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Clarks Mr Prescription Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Clarks RX LLC

  dba The Compounding Lab/Independent RX Pharmacy

  • Community/Retail Pharmacy
  • Huber Heights, OH
  • NPI 1184723652

  Member Of

  NPD member

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

• Clarks RX LLC

  dba The Compounding Lab/Independent RX Pharmacy

  • Community/Retail Pharmacy
  • Huber Heights, OH
  • NPI 1184723652

  Member Of

  NPD member
• Clarks RX LLC

  dba Clark's RX Pharmacy

  • Community/Retail Pharmacy
  • Franklin, OH
  • NPI 1487754594

  Member Of

  NPD member
• Clarks RX LLC

  dba Clark's Rx Pharmacy

  • Community/Retail Pharmacy
  • Cincinnati, OH
  • NPI 1710257902

  Member Of

  NPD member
• Clarks RX LLC

  dba Clarks Mr Prescription

  • Community/Retail Pharmacy
  • Troy, OH
  • NPI 1902906001

  Member Of

  NPD member

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1689687626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7682 MCEWEN RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "45459",
            "telephone_number": "937-291-9554",
            "fax_number": "937-291-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7682 MCEWEN RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "45459",
            "telephone_number": "937-291-9554",
            "fax_number": "937-291-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON HOME MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "KALOGERAS",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "614-294-1600"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "HMER22204",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "OH",
            "license": "HMER22204",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "OH",
            "license": "HMER22204",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2396563",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarks Mr Prescription",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Centerville, OH
• Providers in Centerville, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.