Buderer Drug Company Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP022133300 Issued in OH

Legal business name

BUDERER DRUG COMPANY INC

Doing business as

Buderer Drug Company, Avon

Practice address

38530 Chester Rd
Suite 400
Avon, OH 44011-4047

Phone

(440) 934-3100

Fax

(440) 934-3103

NPI assigned

Jun 26, 2011

Last updated

Jun 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew J Buderer, R.PH.NPI 1780734889

Title

Vice President

Phone

(419) 873-2800

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• Buderer Drug Company, Avon Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Buderer Drug Company Inc

  • Community/Retail Pharmacy
  • Sandusky, OH
  • NPI 1013067107

  O20210608000384

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Buderer Drug Co3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Buderer Drug Co.

  • Specialty Pharmacy
  • Perrysburg, OH
  • NPI 1174673362
  NPD tax ID
• Buderer Drug Company Inc

  • Community/Retail Pharmacy
  • Sandusky, OH
  • NPI 1013067107
  NPD tax ID

Locations

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.

• Matthew J Buderer, R.PH.

  • Pharmacotherapy Pharmacist
  • Perrysburg, OH
  • NPI 1780734889
  Authorized official Same address or phone

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

{
    "created_epoch": "1309046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1750677944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38530 CHESTER RD",
            "address_2": "SUITE 400",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440114047",
            "telephone_number": "440-934-3100",
            "fax_number": "440-934-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38530 CHESTER RD",
            "address_2": "SUITE 400",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440114047",
            "telephone_number": "440-934-3100",
            "fax_number": "440-934-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUDERER DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-26",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "BUDERER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "419-873-2800",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "SP022133300",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054740",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO STATE BOARD OF PHARMACY TDDD",
            "identifier": "022133300",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130965",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buderer Drug Company, Avon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Buderer Drug Company, Avon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Brickner, APRN-CNP
• Abagael Marie Bridwell
• Tina Broucek
• Whitney Brown
• Rebekah Marie Bryson, LCSW
• Shayna Sue Buga, MSN, APRN, ACNPC-AG
• Robert Bullock
• Timothy J Bungo, PT
• Kimberly Bunton
• Eric Burgess, PHARMD

• Community/Retail Pharmacy in Avon, OH
• Providers in Avon, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.

Verify at the official NPI Registry.