Organization Active NPI

Ohliger Drug of Fairview Park Inc

  • Community/Retail Pharmacy
  • Fairview Park, OH
National Provider Identifier
1831226679
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020125250 Issued in OH
Legal business name
OHLIGER DRUG OF FAIRVIEW PARK INC
Practice address
21720 Lorain Rd
Fairview Park, OH 44126-3329
Phone
(440) 333-1200
Fax
(440) 333-1207
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Authorized official

Name
Thomas Ohliger, RPH
Title
Owner and Pharmacist
Phone
(440) 333-1200

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 020125250 OH Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

21720 Lorain Rd
Fairview Park, OH 44126-3329

Mailing address

21720 Lorain Rd
Fairview Park, OH 44126-3329
Phone (440) 333-1200

Other identifiers 2

IdentifierTypeStateIssuer
3612276OtherNCPDP PROVIDER IDENTIFICATION NUMBER
6544501MedicaidOH

Other names 1

  • OHLIGER DRUG OF FAIRVIEW PARK INC Doing business as

National Provider Directory

National Provider Directory

Locations

21720 Lorain Rd
Fairview Park, OH 44126
Phone (216) 333-1200

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1831226679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21720 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263329",
            "telephone_number": "440-333-1200",
            "fax_number": "440-333-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21720 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263329",
            "telephone_number": "440-333-1200",
            "fax_number": "440-333-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHLIGER DRUG OF FAIRVIEW PARK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "OHLIGER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "440-333-1200",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "020125250",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3612276",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6544501",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OHLIGER DRUG OF FAIRVIEW PARK INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairview Park, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.