NPIMap

Organization Active NPI

Cedarville Hometown Pharmacy LLC

Doing business as Cedar Care Village Pharmacy

  • Community/Retail Pharmacy
  • Cedarville, OH
National Provider Identifier
1730545229
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CEDARVILLE HOMETOWN PHARMACY LLC
Practice address
63 N. Main St.
Cedarville, OH 45314
Phone
(937) 766-2273
Fax
(937) 697-5086
NPI assigned
Jan 13, 2016
Last updated
Nov 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Katherine PerryNPI 1679186787
Title
Owner
Phone
(937) 336-3637

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 022553950 OH
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

63 N. Main St.
Cedarville, OH 45314

Mailing address

PO Box 662
Cedarville, OH 45314
Phone (937) 766-2273

Other identifiers 2

IdentifierTypeStateIssuer
0332877MedicaidOH
023000050OtherOHOHIO BOARD OF PHARMACY TERMINAL DISTRIBUTORS LICENSE

Other names 1

  • Cedar Care Village Pharmacy Former legal business name

National Provider Directory

National Provider Directory

Locations

63 N Main St
Cedarville, OH 45314
Phone (937) 766-2273

Practitioners & affiliated clinicians

Practitioners 8

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": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1730545229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 662",
            "city": "CEDARVILLE",
            "state": "OH",
            "postal_code": "45314",
            "telephone_number": "937-766-2273",
            "fax_number": "937-697-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 N. MAIN ST.",
            "city": "CEDARVILLE",
            "state": "OH",
            "postal_code": "45314",
            "telephone_number": "937-766-2273",
            "fax_number": "937-697-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARVILLE HOMETOWN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-336-3637"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "022553950",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0332877",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF PHARMACY TERMINAL DISTRIBUTORS LICENSE",
            "identifier": "023000050",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Care Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cedar Care Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cedar Care Village Pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cedarville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.