Organization Active NPI

AMC Ohio LLC

  • Community/Retail Pharmacy
  • Cincinnati, OH
National Provider Identifier
1811531122
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
AMC OHIO LLC
Practice address
2805 Gilbert Ave
Cincinnati, OH 45206-1210
Phone
(513) 978-5858
Fax
(513) 978-5857
NPI assigned
Oct 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2025

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

Authorized official

Name
Thomas Saltsman
Title
Chief Pharmacy Officer
Phone
(614) 975-8564

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2805 Gilbert Ave
Cincinnati, OH 45206-1210

Mailing address

4400 N High St Ste 300
Columbus, OH 43214-2635

Other names 1

  • Equitas Health Pharmacy #4 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141029001335 OH Part B Supplier - Mass Immunization (Roster Biller Only) 7214182260 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cincinnati, OH; Columbus, OH; Dayton, OH; Toledo, OH; Akron, OH
O20200515002017 OH DME Supplier - Pharmacy 7214182260 Practice locations: Cincinnati, OH

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
AMC Ohio LLC2805 Gilbert Ave, Cincinnati, OH 45206-1210(513) 978-5858 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Nov 5, 2012

National Provider Directory

National Provider Directory
Tax ID family
AMC Ohio LLC Dba Equitas He6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737849600000",
    "number": "1811531122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 N HIGH ST STE 300",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 GILBERT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061210",
            "telephone_number": "513-978-5858",
            "fax_number": "513-978-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMC OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-30",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A",
        "authorized_official_last_name": "SALTSMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "614-975-8564"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Equitas Health Pharmacy #4",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Equitas Health Pharmacy #4",
            "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 Jan 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.