Organization Active NPI

Citywide RX LLC

Doing business as Specialty RX OH

  • Long Term Care Pharmacy
  • Columbus, OH
National Provider Identifier
1881190692
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
0228665500 Issued in OH
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0301114MedicaidOH
2176772OtherPK

Other names 1

  • Specialty RX OH Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These 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

SupplierSuppliesMedicare assignment
Citywide RX LLC2787 Charter St, Columbus, OH 43228-4607(908) 241-6337 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Nov 19, 2018

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.