Cherrytree RX LLC
Organization Active NPI Community/Retail Pharmacy · Dover, OH
NPI 1740928282 · NPPES record last updated May 6, 2024
Key facts
- NPI
- 1740928282
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- CHERRYTREE RX LLC
- Practice address
- 3000 N Wooster Ave
Dover, OH 44622-9469 - Phone
- (330) 440-0215
- NPI assigned
- May 24, 2022
- Organization subpart
- No
Authorized official
- Name
- Laura Aubihl, RPH
- Title
- President
- Phone
- (330) 440-0215
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231213003626 | OH | Part B Supplier - Mass Immunization (Roster Biller Only) | 9032568258 | Practice locations: Dover, OH |
National Provider Directory
Locations
3000 N Wooster Ave
Dover, OH 44622
Phone (330) 364-3079
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
3000 N Wooster Ave
Dover, OH 44622-9469
Mailing address
3000 N Wooster Ave
Dover, OH 44622-9469
Phone (330) 440-0215
Other names
- CherryTree Pharmacy
Other providers in Dover, OH
- John F Carroll
- Laurel Ann Carroll
- Mary Elizabeth Carter
- Amber M Caterina
- Centers for Comprehensive Pain Care, Inc.
- Steven A Chismar
- Chloe M Chisnell
- Staci Ann Christner
- City of Dover
- Michael Civiello
All providers in Dover, 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 May 6, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.