Active NPI
Monroe Pharmacy Inc
- Pharmacy
- Toledo, OH
National Provider Identifier
1891878583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 020118800
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6083885 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210305002252 | OH | Part B Supplier - Mass Immunization (Roster Biller Only) | 7618089558 | Practice locations: Toledo, 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 |
|---|---|---|
| Monroe Pharmacy Inc | Immunosuppressive Drugs|Nebulizer Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Toledo, OH
- NPI 1366580979
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.