The Drugstore at O'Bleness LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

021621000 Issued in OH

Legal business name

THE DRUGSTORE AT O'BLENESS LLC

Doing business as

The Drugstore

Practice address

934 E State St
Athens, OH 45701

Phone

(740) 566-4690

Fax

(740) 566-4691

NPI assigned

Oct 7, 2006

Reactivated

Dec 2, 2020

Last updated

Feb 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward J Zatta, RPH

Title

Managing Partner

Phone

(740) 359-4513

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• THE DRUGSTORE Doing business as

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Locations

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.

• Kurt Conkey, PHARMD, R.PH.

  • Pharmacist
  • Athens, OH
  • NPI 1245574037
  NPD (past)
• Megan Minehart, RPH, PHARMD

  • Pharmacist
  • Athens, OH
  • NPI 1699335638
  NPD (past)
• Alexis Thatcher, PHARMD

  • Pharmacist
  • Athens, OH
  • NPI 1629616909
  NPD (past)

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1841387040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 E STATE ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "45701",
            "telephone_number": "740-566-4690",
            "fax_number": "740-566-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 E STATE ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "45701",
            "telephone_number": "740-566-4690",
            "fax_number": "740-566-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DRUGSTORE AT O'BLENESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "deactivation_date": "2020-11-24",
        "reactivation_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "ZATTA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "740-359-4513",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "021621000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2080485",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE DRUGSTORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandi Jo Thacker, QMHS
• Kaley Thacker
• Khloe Thacker, QMHS
• Kamdyn Juliana Thakur
• Alexis Thatcher, PHARMD
• The Edna Brooks Foundation, Inc. (My Sister's Place)
• The Kroger Co (Kroger Pharmacy)
• The Sheltering Arms Hospital Foundation, Inc (O'Bleness Memorial Hospital)
• Therapytech, Inc.
• Thomas Littler O D Inc

• Community/Retail Pharmacy in Athens, OH
• Providers in Athens, 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 Feb 6, 2023; 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.