Organization Active NPI

Neidig Health Care, LTD

Doing business as Medi-Wise Pharmacy

  • Community/Retail Pharmacy
  • Dover, OH
National Provider Identifier
1720061591
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02-1523450 Issued in OH
Legal business name
NEIDIG HEALTH CARE, LTD
Doing business as
Medi-Wise Pharmacy
Practice address
710 Boulevard St
Dover, OH 44622-2006
Phone
(330) 602-9473
Fax
(330) 343-2442
NPI assigned
Nov 24, 2005
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mr. Jeffrey A Neidig, RPH
Title
Member
Phone
(330) 602-9473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 02-1523450 OH Primary

Addresses

Primary practice location

710 Boulevard St
Dover, OH 44622-2006

Mailing address

PO Box 1023
New Philadelphia, OH 44663-5123
Phone (330) 602-9473

Other identifiers 2

IdentifierTypeStateIssuer
2600199MedicaidOH
3657840OtherOHNCPDP

Other names 1

  • MEDI-WISE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medi-Wise LTC Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

710 Boulevard St
Dover, OH 44622
Phone (330) 602-9473

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1132790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1720061591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1023",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446635123",
            "telephone_number": "330-602-9473",
            "fax_number": "330-343-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 BOULEVARD ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222006",
            "telephone_number": "330-602-9473",
            "fax_number": "330-343-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIDIG HEALTH CARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-24",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "NEIDIG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "330-602-9473",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02-1523450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2600199",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3657840",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDI-WISE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.