Active NPI
Ohliger Drug of North Olmsted Inc
- Long Term Care Pharmacy
- Westlake, OH
National Provider Identifier
1861522591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 021637400
- Legal business name
- OHLIGER DRUG OF NORTH OLMSTED INC
- Practice address
- 27121 Center Ridge Rd
Westlake, OH 44145-4024 - Phone
- (440) 777-6200
- Fax
- (440) 734-7340
- NPI assigned
- Mar 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monica Ohliger Lavelle, RPH
- Title
- Owner
- Phone
- (440) 777-6200
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Institutional Pharmacy | 3336I0012X | |||
| Long Term Care Pharmacy | 3336L0003X | 021637400 | OH | Primary |
| Managed Care Organization Pharmacy | 3336M0003X |
Addresses
Primary practice location
27121 Center Ridge Rd
Westlake, OH 44145-4024
Mailing address
27121 Center Ridge Rd
Westlake, OH 44145-4024
Phone (440) 777-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2080640 | Other | PK |
Other names 2
- OHLIGER DRUG LONG TERM CARE
- Ohliger Drug LTC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230925001667 | OH | Part B Supplier - Mass Immunization (Roster Biller Only) | 3779601836 | Practice locations: Westlake, OH |
National Provider Directory
National Provider DirectoryLocations
25300 Lorain Rd
North Olmsted, OH 44070
Phone (440) 777-6200
27121 Center Ridge Rd
Westlake, OH 44145
Phone (440) 777-6200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570492800000",
"number": "1861522591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27121 CENTER RIDGE RD",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441454024",
"telephone_number": "440-777-6200",
"fax_number": "440-734-7340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27121 CENTER RIDGE RD",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441454024",
"telephone_number": "440-777-6200",
"fax_number": "440-734-7340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OHLIGER DRUG OF NORTH OLMSTED INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2019-10-08",
"status": "A",
"authorized_official_last_name": "LAVELLE",
"authorized_official_first_name": "MONICA",
"authorized_official_middle_name": "OHLIGER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "440-777-6200",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "OH",
"license": "021637400",
"primary": true
},
{
"code": "3336M0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Managed Care Organization Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2080640",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OHLIGER DRUG LONG TERM CARE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Ohliger Drug LTC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.