NPIMap

Organization Active NPI

Allens Pharmaserv Inc

  • Long Term Care Pharmacy
  • Youngstown, OH
National Provider Identifier
1841241049
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
020633750 Issued in OH
Legal business name
ALLENS PHARMASERV INC
Doing business as
Allens Pharmaserv Inc
Practice address
520 Gypsy LN
Youngstown, OH 44504-1315
Phone
(330) 744-0707
Fax
(330) 744-1244
NPI assigned
May 12, 2006
Last updated
Jul 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Authorized official

Name
Alan Mirkin
Title
President
Phone
(330) 744-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 020633750 OH Primary

Addresses

Primary practice location

520 Gypsy LN
Youngstown, OH 44504-1315

Mailing address

PO Box 2208
Youngstown, OH 44504-0208

Other identifiers 2

IdentifierTypeStateIssuer
0801350MedicaidOH
3654197OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • ALLENS PHARMASERV INC Doing business as

National Provider Directory

National Provider Directory

Locations

520 Gypsy Ln
Youngstown, OH 44504
Phone (330) 744-0707

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1841241049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2208",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445040208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 GYPSY LN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041315",
            "telephone_number": "330-744-0707",
            "fax_number": "330-744-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLENS PHARMASERV INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "MIRKIN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-744-0707"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OH",
            "license": "020633750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0801350",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3654197",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLENS PHARMASERV INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.