Organization Active NPI

Parriman Pharmacy LLC

Doing business as Milford Pharmacy and Wellness Center

  • Community/Retail Pharmacy
  • Milford, OH
National Provider Identifier
1902418148
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PARRIMAN PHARMACY LLC
Doing business as
Milford Pharmacy and Wellness Center
Practice address
931 State Route 28 Unit 205
Milford, OH 45150-4942
Phone
(513) 831-8211
Fax
(513) 831-2419
NPI assigned
Aug 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Authorized official

Name
Matthew Wayne Parriman, PHARMDNPI 1932659653
Title
RPH
Phone
(513) 831-8211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

931 State Route 28 Unit 205
Milford, OH 45150-4942

Mailing address

931 State Route 28 Unit 205
Milford, OH 45150-4942
Phone (513) 831-8211

Other identifiers 1

IdentifierTypeStateIssuer
0418166MedicaidOH

Other names 1

  • Milford Pharmacy and Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210315001190 OH Part B Supplier - Mass Immunization (Roster Biller Only) 9638584584 Practice locations: Milford, OH

National Provider Directory

National Provider Directory

Locations

931 State Route 28
Unit 205
Milford, OH 45150
Phone (513) 831-2419

Practitioners & affiliated clinicians

Practitioners 2

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": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1902418148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 STATE ROUTE 28 UNIT 205",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451504942",
            "telephone_number": "513-831-8211",
            "fax_number": "513-831-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 STATE ROUTE 28 UNIT 205",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451504942",
            "telephone_number": "513-831-8211",
            "fax_number": "513-831-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARRIMAN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "PARRIMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "513-831-8211",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0418166",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milford Pharmacy and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Milford Pharmacy and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.