Organization Active NPI

Okuleys Pharmacy and Home Medical of Wauseon Inc

Doing business as Okuleys Pharmacy & Home Medical of Wauseon Inc

  • Community/Retail Pharmacy
  • Wauseon, OH
National Provider Identifier
1811008550
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022089450 Issued in OH
Legal business name
OKULEYS PHARMACY AND HOME MEDICAL OF WAUSEON INC
Doing business as
Okuleys Pharmacy & Home Medical of Wauseon Inc
Practice address
123 S Fulton St
Wauseon, OH 43567-1351
Phone
(419) 335-6901
Fax
(419) 335-6901
NPI assigned
Aug 31, 2006
Last updated
Dec 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Authorized official

Name
Travis Okuley
Title
Owner
Phone
(419) 596-2003

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 022089450 OH Primary

Addresses

Primary practice location

123 S Fulton St
Wauseon, OH 43567-1351

Mailing address

123 S Fulton St
Wauseon, OH 43567-1351
Phone (419) 335-6901

Other identifiers 1

IdentifierTypeStateIssuer
3615195OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Okuleys Pharmacy & Home Medical of Wauseon Inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1811008550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S FULTON ST",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435671351",
            "telephone_number": "419-335-6901",
            "fax_number": "419-335-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S FULTON ST",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435671351",
            "telephone_number": "419-335-6901",
            "fax_number": "419-335-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKULEYS PHARMACY AND HOME MEDICAL OF WAUSEON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "OKULEY",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-596-2003"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "022089450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3615195",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Okuleys Pharmacy & Home Medical of Wauseon Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wauseon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.