Organization Active NPI

Hicare Pharmacy LLC

  • Community/Retail Pharmacy
  • Dayton, OH
National Provider Identifier
1801589734
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HICARE PHARMACY LLC
Practice address
8769 N Main St FL 1
Dayton, OH 45415-1392
Phone
(937) 723-6034
Fax
(937) 723-3641
NPI assigned
May 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Dr. Samuel Dwomoh, PHARMDNPI 1992304364
Title
Co- Owner/Pharmacist
Phone
(513) 223-9262

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

8769 N Main St FL 1
Dayton, OH 45415-1392

Mailing address

4140 Salem Ave Ste 3
Dayton, OH 45416-1703
Phone (937) 723-6034

Other identifiers 1

IdentifierTypeStateIssuer
0018895MedicaidOH

Other names 1

  • HICARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

8769 N Main St
Fl 1
Dayton, OH 45415
Phone (937) 723-6034

4140 Salem Ave
Ste 3
Dayton, OH 45416

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1801589734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 SALEM AVE STE 3",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454161703",
            "telephone_number": "937-723-6034",
            "fax_number": "937-723-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8769 N MAIN ST FL 1",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151392",
            "telephone_number": "937-723-6034",
            "fax_number": "937-723-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "DWOMOH",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CO- OWNER/PHARMACIST",
        "authorized_official_telephone_number": "513-223-9262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018895",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HICARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HICARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.