NPIMap

Organization Active NPI

Decaria Brothers Inc

Doing business as Diamond Pharmacy

  • Pharmacy
  • Wintersville, OH
National Provider Identifier
1699763276
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
02-1056300 Issued in OH
Legal business name
DECARIA BROTHERS INC
Doing business as
Diamond Pharmacy
Practice address
503 Cadiz Rd
Wintersville, OH 43953-4126
Phone
(740) 264-6500
NPI assigned
Oct 8, 2005
Last updated
Feb 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Vincent B Decaria, RPH
Title
Owner/Pharmacist
Phone
(740) 264-5711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 02-1056300 OH Primary

Addresses

Primary practice location

503 Cadiz Rd
Wintersville, OH 43953-4126

Mailing address

503 Cadiz Rd
Wintersville, OH 43953-4126
Phone (740) 264-6500

Other identifiers 3

IdentifierTypeStateIssuer
8500539MedicaidWV
2049081MedicaidOH
3664883OtherNABP

Other names 1

  • DIAMOND PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930035690 OH DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 8426085861 Practice locations: Wintersville, OH

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Decaria Brothers Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

503 Cadiz Rd
Wintersville, OH 43953
Phone (740) 264-6500

NPI Registry JSON

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

{
    "created_epoch": "1128729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1699763276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 CADIZ RD",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439534126",
            "telephone_number": "740-264-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 CADIZ RD",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439534126",
            "telephone_number": "740-264-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECARIA BROTHERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-08",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "DECARIA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "740-264-5711",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "02-1056300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8500539",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2049081",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3664883",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIAMOND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wintersville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.