Virtus Ohio Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PSNH.022586600- Issued in OH

Legal business name

VIRTUS OHIO PHARMACY LLC

Doing business as

Centerville LTC Pharmacy

Practice address

436 Alexandersville Rd
Miamisburg, OH 45342-3658

Phone

(937) 435-5751

Fax

(937) 435-5759

NPI assigned

Jun 9, 2016

Organization subpart

No

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

Authorized official

Name

Rutul Shah, PHARMD

Title

Ceo

Phone

(312) 391-6845

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Centerville LTC Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1891144986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 ALEXANDERSVILLE RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423658",
            "telephone_number": "937-435-5751",
            "fax_number": "937-435-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 ALEXANDERSVILLE RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423658",
            "telephone_number": "937-435-5751",
            "fax_number": "937-435-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUS OHIO PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RUTUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-391-6845",
        "authorized_official_credential": "PHARMD"
    },
    "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": "PSNH.022586600-",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160200",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0170240",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centerville LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Centerville LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna L. Verschoore, MSW, LISW
• Vertrae Surgery Center, LLC
• Vertrae, Inc. (Vertrae)
• Hannah Elizabeth Village, MT-BC, RBT
• Robert S Vincent
• Sara Vonweller, RBT
• Vosler Dental
• Brad A. Vosler, D.D.S.
• Paula P Vosler, D.D.S.03191970
• Asma Tariq Waheeb

• Long Term Care Pharmacy in Miamisburg, OH
• Providers in Miamisburg, 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 Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.