NPIMap

Organization Active NPI

H.B. Magruder Memorial Hospital

Doing business as The Pharmacy at Magruder Hospital

  • Community/Retail Pharmacy
  • Port Clinton, OH
National Provider Identifier
1740647031
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022576750 Issued in OH
Legal business name
H.B. MAGRUDER MEMORIAL HOSPITAL
Doing business as
The Pharmacy at Magruder Hospital
Practice address
615 Fulton St
Port Clinton, OH 43452-2001
Phone
(419) 734-3131
Fax
(419) 732-4078
NPI assigned
Jan 19, 2016
Last updated
Aug 19, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
H.B. MAGRUDER HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Authorized official

Name
Jon Keeley, R.PH.
Title
Responsible Pharmacist
Phone
(419) 734-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 022576750 OH Primary

Addresses

Primary practice location

615 Fulton St
Port Clinton, OH 43452-2001

Mailing address

615 Fulton St
Port Clinton, OH 43452-2001
Phone (419) 734-3131

Other names 1

  • The Pharmacy at Magruder Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031205000057 OH Part B Supplier - Clinic/Group Practice 8921915786 Receives reassigned benefits from 23 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Port Clinton, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Oak Harbor Medical Cent

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1297 W Main St
Marblehead, OH 43440
Phone (419) 798-4418

4058 East Harbor Rd
Port Clinton, OH 43452
Phone (419) 732-9894

600 E 6th St
Ste A
Port Clinton, OH 43452
Phone (419) 734-3131

600 E 6th St
Ste B
Port Clinton, OH 43452
Phone (419) 732-7510

602 E 6th St
Ste C
Port Clinton, OH 43452
Phone (419) 734-5587

611 Fulton St
Port Clinton, OH 43452
Phone (419) 732-6500

611 Fulton St
Ste A
Port Clinton, OH 43452
Phone (419) 725-6850

611 Fulton St
Ste E
Port Clinton, OH 43452
Phone (419) 301-4380

611 Fulton St
Ste G
Port Clinton, OH 43452
Phone (419) 660-0099

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1740647031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 FULTON ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522001",
            "telephone_number": "419-734-3131",
            "fax_number": "419-732-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 FULTON ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522001",
            "telephone_number": "419-734-3131",
            "fax_number": "419-732-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H.B. MAGRUDER MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "H.B. MAGRUDER HOSPITAL",
        "enumeration_date": "2016-01-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "KEELEY",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "RESPONSIBLE PHARMACIST",
        "authorized_official_telephone_number": "419-734-3131",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "022576750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pharmacy at Magruder Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Clinton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.