Organization Active NPI

My Pharmacy of Bellefontaine,LLC

  • Community/Retail Pharmacy
  • Bellefontaine, OH
National Provider Identifier
1700292885
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MY PHARMACY OF BELLEFONTAINE,LLC
Practice address
932 E Sandusky Ave
Bellefontaine, OH 43311-2856
Phone
(937) 441-1758
NPI assigned
Jul 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Ms. Carla Jean Murdock, RPHNPI 1730779430
Title
Pic/Owner
Phone
(937) 441-1758

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

932 E Sandusky Ave
Bellefontaine, OH 43311-2856

Mailing address

130 Virginia Drive
West Liberty, OH 43357
Phone (937) 599-3408

National Provider Directory

National Provider Directory

Locations

932 E Sandusky Ave
Bellefontaine, OH 43311
Phone (937) 292-7902

Practitioners & affiliated clinicians

Practitioners 2

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": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1700292885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 VIRGINIA DRIVE",
            "city": "WEST LIBERTY",
            "state": "OH",
            "postal_code": "43357",
            "telephone_number": "937-599-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 E SANDUSKY AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112856",
            "telephone_number": "937-441-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PHARMACY OF BELLEFONTAINE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "MURDOCK",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "937-441-1758",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefontaine, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.