Yellow Springs Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

YELLOW SPRINGS PHARMACY LLC

Practice address

263 Xenia Ave
Yellow Springs, OH 45387-1832

Phone

(937) 767-1070

Fax

(937) 767-9209

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Viral Patel

Title

Manager

Phone

(937) 767-1070

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Yellow Springs Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Member of 1

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

• Benzer Oh 5 LLC

  • Community/Retail Pharmacy
  • Utica, OH
  • NPI 1225049885

  Member Of

  NPD member

Locations

Practitioners 3

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

• Janice M Blandford, RPH

  • Pharmacotherapy Pharmacist
  • Yellow Springs, OH
  • NPI 1023366697
  NPD (past)
• Megan Lents, PHARM.D.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Springfield, OH
  • NPI 1790030377
  NPD (past)
• Emma Francis Robinow

  • Student in an Organized Health Care Education/Training Program
  • Yellow Springs, OH
  • NPI 1235494642
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1821133869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 XENIA AVE",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "45387",
            "telephone_number": "937-767-1070",
            "fax_number": "937-767-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 XENIA AVE",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871832",
            "telephone_number": "937-767-1070",
            "fax_number": "937-767-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOW SPRINGS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-09-17",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIRAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "937-767-1070"
    },
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2074469",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2776616",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yellow Springs Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Williamson
• Michael C Wilson, MSW
• Yellow Springs Chiropractic, LLC
• Yellow Springs Chiropratic II, LLC
• Yellow Springs Dental Care John T Russell DDS Inc.
• Yellow Springs Primary Care, Inc
• Yellow Springs Primary Care, Inc
• Yellow Springs Primary Care, Inc
• Mary K Yelton
• Jane Young, PSY.D.

• Community/Retail Pharmacy in Yellow Springs, OH
• Providers in Yellow Springs, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.