Organization Active NPI

C & R Pharmacy, LLC

  • Community/Retail Pharmacy
  • West Liberty, OH
National Provider Identifier
1689758849
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
C & R PHARMACY, LLC
Doing business as
C & R PHARMACY
Practice address
204 N Detroit St
West Liberty, OH 43357
Phone
(937) 650-3333
Fax
(937) 650-3335
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Curtis G Roach, R.PH.
Title
President
Phone
(937) 650-3333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 02-1345250 OH
Community/Retail Pharmacy 3336C0003X OH Primary

Addresses

Primary practice location

204 N Detroit St
West Liberty, OH 43357

Mailing address

204 N Detroit St
PO Box 761
West Liberty, OH 43357
Phone (937) 650-3333

Other identifiers 2

IdentifierTypeStateIssuer
3671181OtherOHNCPDP #
2374318MedicaidOH

Other names 1

  • C & R PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1689758849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N DETROIT ST",
            "address_2": "PO BOX 761",
            "city": "WEST LIBERTY",
            "state": "OH",
            "postal_code": "43357",
            "telephone_number": "937-650-3333",
            "fax_number": "937-650-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N DETROIT ST",
            "city": "WEST LIBERTY",
            "state": "OH",
            "postal_code": "43357",
            "telephone_number": "937-650-3333",
            "fax_number": "937-650-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & R PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-650-3333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "02-1345250",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "3671181",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2374318",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C & R PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Liberty, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.