Organization Active NPI

Ohliger Drug of North Olmsted Inc

  • Long Term Care Pharmacy
  • Westlake, OH
National Provider Identifier
1861522591
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
021637400 Issued in OH
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

Updated by the provider on Oct 8, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2080640OtherPK

Other names 2

  • OHLIGER DRUG LONG TERM CARE Doing business as
  • Ohliger Drug LTC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230925001667 OH Part B Supplier - Mass Immunization (Roster Biller Only) 3779601836 Practice locations: Westlake, OH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.