Discount Drug Mart Inc
Organization Active NPI Community/Retail Pharmacy · Ashtabula, OH
NPI 1730124652 · NPPES record last updated Mar 6, 2017
Key facts
- NPI
- 1730124652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 021137750 (OH)
- Legal business name
- DISCOUNT DRUG MART INC
- Practice address
- 3032 N Ridge Rd E
Ashtabula, OH 44004-4304 - Phone
- (440) 998-0663
- Fax
- (440) 998-0679
- NPI assigned
- Jun 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Laura Taylor, CPHT
- Title
- Pharmacy Coordinator
- Phone
- (330) 725-2340
Corporate family (same tax ID) 24
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D1051120 | Discount Drug Mart #60 | Certificate of waiver | Feb 21, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Discount Drug Mart 60 |
Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Orthoses: Off-The-Shelf|Urological Supp… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040820000066 | OH | Part B Supplier - Mass Immunization (Roster Biller Only) | 4587638168 | This NPI is an additional NPI on the enrollment |
| O20100930087872 | OH | DME Supplier - Pharmacy | 4587638168 | Practice locations: Ashtabula, OH |
National Provider Directory
- Tax ID family
- Drug Mart Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 021137750 | OH | Yes |
Addresses
Primary practice location
3032 N Ridge Rd E
Ashtabula, OH 44004-4304
Mailing address
211 Commerce Dr
Medina, OH 44256-1331
Phone (330) 725-2340
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2136209 | Medicaid | OH | |
| 2076516 | Other | PK |
Other names
- DISCOUNT DRUG MART
Other providers in Ashtabula, OH
- Vanessa Marie Dimare
- Samantha Dioneff
- Mackenzie Dipofi
- Jonathan Diprinzio
- Thomas D. Disalvatore
- Barbara Dixon
- DJM Recovery Solutions, LLC
- Robert A. Dlwgosh
- Vanessa Eva Dobo
- Virgil Carl Dodge Jr.
All providers in Ashtabula, OH · Community/Retail Pharmacy in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.