Organization Active NPI

Zellner Pharmacy Inc

Doing business as Zellner Pharmacy

  • Community/Retail Pharmacy
  • Tiffin, OH
National Provider Identifier
1861489296
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
021517750 Issued in OH
Legal business name
ZELLNER PHARMACY INC
Doing business as
Zellner Pharmacy
Practice address
240 W Market St
Tiffin, OH 44883-2701
Phone
(419) 447-0077
Fax
(419) 447-0177
NPI assigned
Sep 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Authorized official

Name
Kent ZellnerNPI 1679560072
Title
Pres
Phone
(419) 447-0077

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 021517750 OH Primary

Addresses

Primary practice location

240 W Market St
Tiffin, OH 44883-2701

Mailing address

240 W Market St
Tiffin, OH 44883-2701
Phone (419) 447-0077

Other identifiers 2

IdentifierTypeStateIssuer
3673426OtherNCPDP PROVIDER IDENTIFICATION NUMBER
2555168MedicaidOH

Other names 1

  • ZELLNER PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

240 W Market St
Tiffin, OH 44883
Phone (419) 447-0077

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1861489296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W MARKET ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832701",
            "telephone_number": "419-447-0077",
            "fax_number": "419-447-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W MARKET ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832701",
            "telephone_number": "419-447-0077",
            "fax_number": "419-447-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZELLNER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "ZELLNER",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "419-447-0077"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "021517750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3673426",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2555168",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ZELLNER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.