Active NPI
Lo-Med Prescription Services, LLC
Doing business as Omnicare of Wadsworth
- Long Term Care Pharmacy
- Wadsworth, OH
National Provider Identifier
1740392042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- LO-MED PRESCRIPTION SERVICES, LLC
- Doing business as
- Omnicare of Wadsworth
Omnicare of Wadsworth #48234 - Practice address
- 1360 Reimer Rd
Wadsworth, OH 44281-8164 - Phone
- (330) 336-6628
- Fax
- (330) 335-4903
- NPI assigned
- Aug 31, 2006
- Last updated
- Mar 12, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Colbert
- Title
- Sr Director, Payer Relations
- Phone
- (401) 770-2751
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
1360 Reimer Rd
Wadsworth, OH 44281-8164
Mailing address
1 CVS Dr
Box 1075
Woonsocket, RI 02895-6146
Other names 2
- Omnicare of Wadsworth
- Omnicare of Wadsworth #48234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930089100 | OH | DME Supplier - Pharmacy | 9133288491 | Practice locations: Wadsworth, OH |
| O20240412003387 | OH | Part B Supplier - Mass Immunization (Roster Biller Only) | 9133288491 | Practice locations: Wadsworth, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Omnicare of Wadsworth #48324 | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Parenteral Nutrients|Parenteral Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba Omnicare of San Antonio #48357
- Long Term Care Pharmacy
- San Antonio, TX
- NPI 1174559694
Member Of
Locations
1360 Reimer Rd
Wadsworth, OH 44281
Phone (330) 336-6628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552348800000",
"number": "1740392042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"address_2": "BOX 1075",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 REIMER RD",
"city": "WADSWORTH",
"state": "OH",
"postal_code": "442818164",
"telephone_number": "330-336-6628",
"fax_number": "330-335-4903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LO-MED PRESCRIPTION SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2019-03-12",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "SR DIRECTOR, PAYER RELATIONS",
"authorized_official_telephone_number": "401-770-2751"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Omnicare of Wadsworth",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Omnicare of Wadsworth #48234",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wadsworth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.