NPIMap

Organization Active NPI

Phillip's Pharmacy on Brice

Doing business as Phillip's Pharmacy on Brice LLC

  • Community/Retail Pharmacy
  • Reynoldsburg, OH
National Provider Identifier
1750637120
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022221950 Issued in OH
Legal business name
PHILLIP'S PHARMACY ON BRICE
Doing business as
Phillip's Pharmacy on Brice LLC
Practice address
1719 Brice Rd
Reynoldsburg, OH 43068-2705
Phone
(614) 577-9870
NPI assigned
Aug 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Authorized official

Name
Christopher Akunne
Title
Member/Pharmacist
Phone
(614) 284-4108

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 022221950 OH Primary

Addresses

Primary practice location

1719 Brice Rd
Reynoldsburg, OH 43068-2705

Mailing address

1719 Brice Rd
Reynoldsburg, OH 43068-2705
Phone (614) 577-9870

Other identifiers 1

IdentifierTypeStateIssuer
3680558OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Phillip's Pharmacy on Brice LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Phillip's Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1750637120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 BRICE RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682705",
            "telephone_number": "614-577-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 BRICE RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682705",
            "telephone_number": "614-577-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP'S PHARMACY ON BRICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "AKUNNE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MEMBER/PHARMACIST",
        "authorized_official_telephone_number": "614-284-4108"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "022221950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3680558",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillip's Pharmacy on Brice LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.