NPIMap

Organization Active NPI

Mish Inc

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Lebanon, OH
National Provider Identifier
1841281029
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02-125350 Issued in OH
Legal business name
MISH INC
Doing business as
Medicine Shoppe
Practice address
19 N Mechanic St
Lebanon, OH 45036-1801
Phone
(513) 932-2911
Fax
(513) 932-4905
NPI assigned
Nov 4, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Michael A Kemner, R.P.HNPI 1891068862
Title
Owner/Pharmacist
Phone
(513) 932-2911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 02-125350 OH Primary

Addresses

Primary practice location

19 N Mechanic St
Lebanon, OH 45036-1801

Mailing address

19 N Mechanic St
Lebanon, OH 45036-1801
Phone (513) 932-2911

Other identifiers 2

IdentifierTypeStateIssuer
3611591OtherOHNABP
0161800MedicaidOH

Other names 1

  • Medicine Shoppe Doing business as

National Provider Directory

National Provider Directory

Locations

19 N Mechanic St
Lebanon, OH 45036
Phone (513) 932-2911

Practitioners & affiliated clinicians

Practitioners 3

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": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1841281029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 N MECHANIC ST",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361801",
            "telephone_number": "513-932-2911",
            "fax_number": "513-932-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 N MECHANIC ST",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361801",
            "telephone_number": "513-932-2911",
            "fax_number": "513-932-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KEMNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "513-932-2911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.P.H"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02-125350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3611591",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0161800",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.