Organization Active NPI

Pharmacare Compounding Pharmacy

  • Compounding Pharmacy
  • Tallmadge, OH
National Provider Identifier
1801831334
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
022164350 Issued in OH
Legal business name
PHARMACARE COMPOUNDING PHARMACY
Doing business as
PharmaCare Compounding Pharmacy
Practice address
232 West Ave
Tallmadge, OH 44278-2110
Phone
(330) 633-0714
Fax
(330) 633-0716
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Authorized official

Name
Ryan Powell, PHARM.D.
Title
President
Phone
(330) 633-0714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 022164350 OH Primary

Addresses

Primary practice location

232 West Ave
Tallmadge, OH 44278-2110

Mailing address

232 West Ave
Tallmadge, OH 44278-2110
Phone (330) 633-0714

Other identifiers 1

IdentifierTypeStateIssuer
2132801OtherPK

Other names 1

  • PharmaCare Compounding Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

232 West Ave
Tallmadge, OH 44278
Phone (330) 633-0714

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1801831334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 WEST AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782110",
            "telephone_number": "330-633-0714",
            "fax_number": "330-633-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 WEST AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782110",
            "telephone_number": "330-633-0714",
            "fax_number": "330-633-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACARE COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-633-0714",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "OH",
            "license": "022164350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132801",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharmaCare Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallmadge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.