NPIMap

Organization Active NPI

Perry Pharmacy Enterprise LLC

Doing business as Camden Village Pharmacy

  • Community/Retail Pharmacy
  • Camden, OH
National Provider Identifier
1871675678
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RTP.020187400-03 Issued in OH
Legal business name
PERRY PHARMACY ENTERPRISE LLC
Doing business as
Camden Village Pharmacy
Practice address
75 W Central Ave
Camden, OH 45311
Phone
(937) 452-1263
Fax
(937) 452-3957
NPI assigned
Oct 20, 2006
Last updated
Dec 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Authorized official

Name
Katherine Perry, PHARMD
Title
Owner
Phone
(937) 336-3637

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X RTP.020187400-03 OH Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

75 W Central Ave
Camden, OH 45311

Mailing address

75 W Central Ave
Camden, OH 45311
Phone (937) 452-1263

Other names 1

  • CAMDEN VILLAGE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160707001362 OH Part B Supplier - Mass Immunization (Roster Biller Only) 7315066388 Practice locations: Camden, OH
O20231016003465 OH Part B Supplier - Pharmacy 4587019294 Practice locations: Camden, OH

National Provider Directory

National Provider Directory
Tax ID family
Perry Pharmacy Enterprise LLC2 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.

Practitioners & affiliated clinicians

Practitioners 5

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1871675678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W CENTRAL AVE",
            "city": "CAMDEN",
            "state": "OH",
            "postal_code": "45311",
            "telephone_number": "937-452-1263",
            "fax_number": "937-452-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W CENTRAL AVE",
            "city": "CAMDEN",
            "state": "OH",
            "postal_code": "45311",
            "telephone_number": "937-452-1263",
            "fax_number": "937-452-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY PHARMACY ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-336-3637",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "RTP.020187400-03",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAMDEN VILLAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CAMDEN VILLAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camden, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.