Village Square Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

02-1156100 Issued in OH

Legal business name

VILLAGE SQUARE INC.

Doing business as

Village Apothecary

Practice address

104 N Williams St
Paulding, OH 45879-1281

Phone

(419) 399-9780

Fax

(419) 399-5932

NPI assigned

Jul 14, 2006

Last updated

Dec 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark A Marenberg, R.PH.

Title

President

Phone

(419) 399-9780

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Village Apothecary Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1881610178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N WILLIAMS ST",
            "city": "PAULDING",
            "state": "OH",
            "postal_code": "458791281",
            "telephone_number": "419-399-9780",
            "fax_number": "419-399-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N WILLIAMS ST",
            "city": "PAULDING",
            "state": "OH",
            "postal_code": "458791281",
            "telephone_number": "419-399-9780",
            "fax_number": "419-399-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE SQUARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "MARENBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-399-9780",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OH",
            "license": "02-1156100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2133408",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Therapy Solutions
• Larry E Tope, OD
• Turning Point of Paulding County, Inc.
• Karla Turnwald, RPH
• Village of Paulding Ohio
• Hope Vogelsong, LPN
• Amanda Ruth Watson
• Seth Leroy Wenninger, PHARMD
• Western Buckeye Esc
• Westwood Behavioral Health Center, Inc. (Westwood Behavioral Health Center, Inc.-North)

• Long Term Care Pharmacy in Paulding, OH
• Providers in Paulding, OH by specialty
• Long Term Care Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.