NPIMap

Organization Active NPI

Health Partners of Western Ohio

Doing business as Kenton Community Health Center Pharmacy

  • Community/Retail Pharmacy
  • Kenton, OH
National Provider Identifier
1689925356
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022241650 Issued in OH
Legal business name
HEALTH PARTNERS OF WESTERN OHIO
Doing business as
Kenton Community Health Center Pharmacy
Practice address
111 W Espy St
Kenton, OH 43326-2117
Phone
(419) 679-5995
Fax
(419) 679-1393
NPI assigned
Sep 21, 2012
Last updated
Nov 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Jennifer Clark
Title
Director of Pharmacy Services
Phone
(419) 222-1680

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Clinic Pharmacy 3336C0002X NU
Community/Retail Pharmacy 3336C0003X 022241650 OH Primary

Addresses

Primary practice location

111 W Espy St
Kenton, OH 43326-2117

Mailing address

111 W Espy St
Kenton, OH 43326-2117
Phone (419) 679-5995

Other identifiers 2

IdentifierTypeStateIssuer
0072656MedicaidOH
2137048OtherPK

Other names 1

  • Kenton Community Health Center Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Allen County Health Par54 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1689925356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W ESPY ST",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433262117",
            "telephone_number": "419-679-5995",
            "fax_number": "419-679-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W ESPY ST",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433262117",
            "telephone_number": "419-679-5995",
            "fax_number": "419-679-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PARTNERS OF WESTERN OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "419-222-1680"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "022241650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0072656",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137048",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenton Community Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.