Organization Active NPI

Pharmacy Specialty Group, LLC

Doing business as Pharmacy Specialty Group - LTC

  • Long Term Care Pharmacy
  • Brecksville, OH
National Provider Identifier
1841797073
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PHARMACY SPECIALTY GROUP, LLC
Doing business as
Pharmacy Specialty Group - LTC
Practice address
6910 Treeline Dr Ste F
Brecksville, OH 44141-3366
Phone
(440) 623-7100
NPI assigned
Apr 13, 2018
Last updated
Apr 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Authorized official

Name
Robert Traffis, RPHNPI 1326705005
Title
Pharmacy Director
Phone
(440) 623-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

6910 Treeline Dr Ste F
Brecksville, OH 44141-3366

Mailing address

6910 Treeline Dr Ste F
Brecksville, OH 44141-3366

Other names 1

  • PHARMACY SPECIALTY GROUP - LTC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1523577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523577600000",
    "number": "1841797073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 TREELINE DR STE F",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 TREELINE DR STE F",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413366",
            "telephone_number": "440-623-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY SPECIALTY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-13",
        "last_updated": "2018-04-13",
        "status": "A",
        "authorized_official_last_name": "TRAFFIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "440-623-7100",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMACY SPECIALTY GROUP - LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brecksville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.