Organization Active NPI

Monroe Pharmacy Inc

  • Pharmacy
  • Toledo, OH
National Provider Identifier
1891878583
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
020118800 Issued in OH
Legal business name
MONROE PHARMACY INC
Practice address
4122 Monroe St
Toledo, OH 43606
Phone
(419) 473-1531
Fax
(419) 472-1146
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Mr. Edward Martin Dolin, RPH
Title
Pres
Phone
(419) 473-1531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 020118800 OH Primary

Addresses

Primary practice location

4122 Monroe St
Toledo, OH 43606

Mailing address

4122 Monroe St
Toledo, OH 43606

Other identifiers 1

IdentifierTypeStateIssuer
6083885MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210305002252 OH Part B Supplier - Mass Immunization (Roster Biller Only) 7618089558 Practice locations: Toledo, 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
Monroe Pharmacy Inc4122 Monroe St, Toledo, OH 43606-2062(419) 473-1531 Immunosuppressive Drugs|Nebulizer Drugs Does not accept assignmentParticipating since Jan 3, 2001

National Provider Directory

National Provider Directory

Locations

4122 Monroe St
Toledo, OH 43606
Phone (419) 473-1531

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1891878583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 MONROE ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 MONROE ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43606",
            "telephone_number": "419-473-1531",
            "fax_number": "419-472-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "DOLIN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "419-473-1531",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "020118800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6083885",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.