Excels Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

EXCELS PHARMACY LLC

Practice address

2800 Salem Ave
Dayton, OH 45406-2750

Phone

(937) 278-8700

Fax

(937) 278-8701

NPI assigned

Oct 28, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Obimba Isaac, PHARMACISTNPI 1497998199

Title

President/Owner

Phone

(937) 572-1275

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

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.

• Obimba Benneth Isaac, PHARM.D

  • Pharmacist
  • Dayton, OH
  • NPI 1497998199
  NPD Authorized official

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1851935399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 SALEM AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454062750",
            "telephone_number": "937-278-8700",
            "fax_number": "937-278-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 SALEM AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454062750",
            "telephone_number": "937-278-8700",
            "fax_number": "937-278-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "ISAAC",
        "authorized_official_first_name": "OBIMBA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "937-572-1275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0383897",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Dayton, OH
• Providers in Dayton, OH by specialty
• Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.