NPIMap

Organization Active NPI

Altev Community Pharmacy LLC

  • Pharmacy
  • Cincinnati, OH
National Provider Identifier
1801573134
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
ALTEV COMMUNITY PHARMACY LLC
Practice address
3559 Reading Rd
Cincinnati, OH 45229-2666
Phone
(937) 469-8235
Fax
(513) 672-0630
NPI assigned
Jun 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Dr. Emmanuel Ayanjoke, PHARMD
Title
Owner
Phone
(419) 344-4392

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Pharmacy 333600000X Primary
Clinic Pharmacy 3336C0002X

Addresses

Primary practice location

3559 Reading Rd
Cincinnati, OH 45229-2666

Mailing address

3559 Reading Rd Ste 104
Cincinnati, OH 45229-2688
Phone (513) 776-4580

Other identifiers 1

IdentifierTypeStateIssuer
0024062MedicaidOH

Other names 1

  • Altev Community Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Altev Community Pharmacy3 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.

Locations

3559 Reading Rd
Cincinnati, OH 45229
Phone (937) 469-8235

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1801573134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3559 READING RD STE 104",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452292688",
            "telephone_number": "513-776-4580",
            "fax_number": "513-776-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3559 READING RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452292666",
            "telephone_number": "937-469-8235",
            "fax_number": "513-672-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTEV COMMUNITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "AYANJOKE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-344-4392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0024062",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altev Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.