Organization Active NPI

Kaiser Community Pharmacy LLC

  • Pharmacy
  • Norwalk, OH
National Provider Identifier
1699127357
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PMY.022651150-03 Issued in OH
Legal business name
KAISER COMMUNITY PHARMACY LLC
Practice address
251 Benedict Ave
Norwalk, OH 44857-2346
Phone
(419) 668-1078
Fax
(419) 663-5837
NPI assigned
Jul 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
George Elmer
Title
VP
Phone
(419) 668-8101

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X PMY.022651150-03 OH Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

251 Benedict Ave
Norwalk, OH 44857-2346

Mailing address

251 Benedict Ave
Norwalk, OH 44857-2346
Phone (419) 668-1078

Other identifiers 1

IdentifierTypeStateIssuer
2162323OtherPK

Other names 1

  • Kaiser Community Pharmacy Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to 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.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1699127357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 BENEDICT AVE",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572346",
            "telephone_number": "419-668-1078",
            "fax_number": "419-663-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 BENEDICT AVE",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572346",
            "telephone_number": "419-668-1078",
            "fax_number": "419-663-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER COMMUNITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "ELMER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "419-668-8101"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "PMY.022651150-03",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162323",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaiser Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwalk, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.