Organization Active NPI

Cherrytree RX LLC

Doing business as CherryTree Pharmacy

  • Community/Retail Pharmacy
  • Dover, OH
National Provider Identifier
1740928282
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CHERRYTREE RX LLC
Doing business as
CherryTree Pharmacy
Practice address
3000 N Wooster Ave
Dover, OH 44622-9469
Phone
(330) 440-0215
NPI assigned
May 24, 2022
Last updated
May 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Laura Aubihl, RPHNPI 1992248835
Title
President
Phone
(330) 440-0215

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
Community/Retail Pharmacy 3336C0003X Primary

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 1

  • CherryTree Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231213003626 OH Part B Supplier - Mass Immunization (Roster Biller Only) 9032568258 Practice locations: Dover, OH

National Provider Directory

National Provider Directory

Locations

3000 N Wooster Ave
Dover, OH 44622
Phone (330) 364-3079

Practitioners & affiliated clinicians

Practitioners 1

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": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1740928282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N WOOSTER AVE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446229469",
            "telephone_number": "330-440-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N WOOSTER AVE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446229469",
            "telephone_number": "330-440-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRYTREE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "AUBIHL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-440-0215",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CherryTree Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CherryTree Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.