Hawkeys Inc of Columbus Grove

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

02016485003 Issued in OH

Legal business name

HAWKEYS INC OF COLUMBUS GROVE

Practice address

114 N High St
Columbus Grove, OH 45830-1239

Phone

(419) 659-2366

Fax

(419) 659-2346

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Edward Cassidy, PHARM D,RPHNPI 1114052982

Title

Owner.Pic,Ao

Phone

(419) 659-2366

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• HAWKEYS PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Peter Cassidy Jr., PHARMD

  • Pharmacist
  • Columbus Grove, OH
  • NPI 1114052982
  NPD (past) Authorized official

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1710015078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "COLUMBUS GROVE",
            "state": "OH",
            "postal_code": "458300126",
            "telephone_number": "419-659-2366",
            "fax_number": "419-659-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N HIGH ST",
            "city": "COLUMBUS GROVE",
            "state": "OH",
            "postal_code": "458301239",
            "telephone_number": "419-659-2366",
            "fax_number": "419-659-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWKEYS INC OF COLUMBUS GROVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "CASSIDY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER.PIC,AO",
        "authorized_official_telephone_number": "419-659-2366",
        "authorized_official_credential": "PHARM D,RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02016485003",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2072580",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3753424",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAWKEYS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosenda Escamilla
• Lydia Jane Evans
• Kristen Marie Gerding-Heffner, P.C.
• Melissa Halker
• Larry Allen Halters Jr., D.C.
• Alisa Danielle Herman, PT
• Jessica Hermiller
• House Calls for Kids, LLC
• Kyle Hugo Ingledue
• Lisa Karhoff, RN

• Community/Retail Pharmacy in Columbus Grove, OH
• Providers in Columbus Grove, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.