Xenia Pharmacy LLC

Primary specialty

PharmacistTaxonomy code 183500000X

License

12260 Issued in OH

Legal business name

XENIA PHARMACY LLC

Doing business as

medicine shoppe 963

Practice address

631 W 2ND St
Xenia, OH 45385-3613

Phone

(937) 376-5556

Fax

(937) 435-5759

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Tom Mowbray, RPH

Title

President

Phone

(937) 376-5556

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• medicine shoppe 963 Doing business as

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811058886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 W 2ND ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453853613",
            "telephone_number": "937-376-5556",
            "fax_number": "937-435-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 W 2ND ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453853613",
            "telephone_number": "937-376-5556",
            "fax_number": "937-435-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XENIA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOWBRAY",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-376-5556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "12260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2303224",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "medicine shoppe 963",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caren Wyson, LPC
• Sarah J Wysong
• Xenia Community School District
• Xenia Dental Partners LLP (Comfort Dental)
• Xenia East Managment Systems Inc (Hospitality Home East)
• Xenia Township Board of Trustees (Xenia Township Fire Department)
• Alison Renee Yancey, LPC
• Jeanette L Yingling, RPH
• Phillip Yohannan, MD
• Amy Nicole Young

• Pharmacist in Xenia, OH
• Providers in Xenia, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.