NPIMap

Organization Active NPI

Aultman Hospital

Doing business as Aultman Employee Pharmacy

  • Community/Retail Pharmacy
  • Canton, OH
National Provider Identifier
1700941978
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PMY02142810003 Issued in OH
Legal business name
AULTMAN HOSPITAL
Doing business as
Aultman Employee Pharmacy
Practice address
2600 6TH St SW
Canton, OH 44710-1702
Phone
(330) 363-5489
Fax
(330) 363-5837
NPI assigned
Dec 27, 2006
Last updated
Mar 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Authorized official

Name
Thomas Casey, BS
Title
Pharmacist Manager
Phone
(330) 363-5489

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PMY02142810003 OH Primary

Addresses

Primary practice location

2600 6TH St SW
Canton, OH 44710-1702

Mailing address

2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 363-5489

Other names 1

  • AULTMAN EMPLOYEE PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220802003352 OH DME Supplier - Pharmacy 3779485867 Practice locations: Canton, OH

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
Family Prac Ctr Canton14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

2600 6th St SW
Fl 1
Canton, OH 44710
Phone (330) 363-1410

2600 6th St SW
Ste A2
Canton, OH 44710

2600 Tuscarawas St W
Ste 120
Canton, OH 44708
Phone (330) 363-2536

2600 Tuscarawas St W
Ste 340
Canton, OH 44708
Phone (330) 493-9607

2600 Tuscarawas St W
Ste 520
Canton, OH 44708
Phone (330) 454-0702

2600 Tuscarawas St W
Ste 600
Canton, OH 44708
Phone (330) 453-4300

2732 Fulton Dr NW
Canton, OH 44718

4638 Hills and Dales Rd NW
Canton, OH 44708
Phone (330) 363-2536

600 Monroe St
Dover, OH 44622
Phone (330) 363-9079

1925 Williamsburg Way NE
Louisville, OH 44641
Phone (330) 875-6050

2051 Wales Ave NW
Massillon, OH 44646
Phone (330) 363-7462

2051 Wales Ave NW
Ste 100
Massillon, OH 44646
Phone (330) 363-7462

1228 Market St NE
Navarre, OH 44662
Phone (330) 879-5952

517 Park St NW
Ste A
Navarre, OH 44662
Phone (330) 791-7791

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aultman Hospital Health Care in Your HomeCanton, OH, CCN 367290 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2001

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Aultman Hospital

    dba Aultman Health Care In Your Home

    • Home Health Agency
    • Canton, OH
    • NPI 1669568564

    5% Or Greater Direct Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 174

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 174

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1700941978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 6TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-363-5489",
            "fax_number": "330-363-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 6TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-363-5489",
            "fax_number": "330-363-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AULTMAN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PHARMACIST MANAGER",
        "authorized_official_telephone_number": "330-363-5489",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "PMY02142810003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AULTMAN EMPLOYEE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.