Active NPI
Citywide RX LLC
Doing business as Specialty RX OH
- Long Term Care Pharmacy
- Columbus, OH
National Provider Identifier
1881190692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 0228665500
- Legal business name
- CITYWIDE RX LLC
- Doing business as
- Specialty RX OH
- Practice address
- 2787 Charter St
Columbus, OH 43228-4607 - Phone
- (614) 407-8000
- Fax
- (614) 407-8001
- NPI assigned
- Apr 2, 2018
- Last updated
- Jul 28, 2021
- 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
- Joel Zupnick
- Title
- Vice President
- Phone
- (908) 241-6337
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Long Term Care Pharmacy | 3336L0003X | 0228665500 | OH | Primary |
Addresses
Primary practice location
2787 Charter St
Columbus, OH 43228-4607
Mailing address
2 Bergen Tpke
Ridgefield Park, NJ 07660-2390
Phone (908) 241-6337
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0301114 | Medicaid | OH | |
| 2176772 | Other | PK |
Other names 1
- Specialty RX OH
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181116000231 | OH | DME Supplier - Pharmacy | 7012261738 | Practice locations: Columbus, OH |
| O20201228000963 | OH | Part B Supplier - Mass Immunization (Roster Biller Only) | 7012261738 | Practice locations: Columbus, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Citywide RX LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
2787 Charter St
Columbus, OH 43228
Phone (614) 407-8000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627430400000",
"number": "1881190692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 BERGEN TPKE",
"city": "RIDGEFIELD PARK",
"state": "NJ",
"postal_code": "076602390",
"telephone_number": "908-241-6337",
"fax_number": "908-634-4038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2787 CHARTER ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432284607",
"telephone_number": "614-407-8000",
"fax_number": "614-407-8001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITYWIDE RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-02",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A",
"authorized_official_last_name": "ZUPNICK",
"authorized_official_first_name": "JOEL",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "908-241-6337"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "OH",
"license": "0228665500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0301114",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2176772",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Specialty RX OH",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.