Organization Active NPI

Tadmar Inc

Doing business as Brines Pharmacy

  • Long Term Care Pharmacy
  • Girard, OH
National Provider Identifier
1851993026
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
TADMAR INC
Doing business as
Brines Pharmacy
Practice address
906 N State St
Girard, OH 44420-1736
Phone
(330) 545-5025
Fax
(330) 545-5881
NPI assigned
Nov 12, 2020
Last updated
Nov 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Authorized official

Name
Robert Ekiert, RPNPI 1942877659
Title
President
Phone
(330) 318-3926

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

906 N State St
Girard, OH 44420-1736

Mailing address

8571 Foxwood CT Ste a
Poland, OH 44514-4313
Phone (330) 318-3926

Other identifiers 1

IdentifierTypeStateIssuer
3109602MedicaidOH

Other names 1

  • Brines Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.thehometownpharmacies.com Other

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2183814Tadmar Inc Dba Brines Pharmacy906 N State St, Girard, OH 44420Certificate of waiverMay 10, 2028

National Provider Directory

National Provider Directory
Tax ID family
Brine's Hometown Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

906 N State St
Girard, OH 44420
Phone (330) 545-5025

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1851993026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8571 FOXWOOD CT STE A",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445144313",
            "telephone_number": "330-318-3926",
            "fax_number": "330-318-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 N STATE ST",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201736",
            "telephone_number": "330-545-5025",
            "fax_number": "330-545-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TADMAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "EKIERT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-318-3926",
        "authorized_official_credential": "RP"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3109602",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.thehometownpharmacies.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8571 Foxwood Ct Ste A",
            "city": "Poland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445144313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Brines Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Girard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.