NPIMap

Organization Active NPI

Henderson Pharmacy Services, Inc.

Doing business as henderson pharmacy ltc

  • Long Term Care Pharmacy
  • Chillicothe, OH
National Provider Identifier
1912423815
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
020450500 Issued in OH
Legal business name
HENDERSON PHARMACY SERVICES, INC.
Doing business as
henderson pharmacy ltc
Practice address
186 W Main St
Chillicothe, OH 45601-3106
Phone
(740) 702-1181
Fax
(740) 702-1190
NPI assigned
Aug 22, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
HENDERSON PHARMACY SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ronald William Henderson, RPH.NPI 1144560129
Title
Owner/Manager
Phone
(740) 702-1181

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
Long Term Care Pharmacy 3336L0003X 020450500 OH Primary

Addresses

Primary practice location

186 W Main St
Chillicothe, OH 45601-3106

Mailing address

186 W Main St
Chillicothe, OH 45601-3106
Phone (740) 702-1181

Other identifiers 1

IdentifierTypeStateIssuer
0619183MedicaidOH

Other names 1

  • henderson pharmacy ltc Doing business as

National Provider Directory

National Provider Directory
Part of
Henderson Pharmacy Serv

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912423815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 W MAIN ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456013106",
            "telephone_number": "740-702-1181",
            "fax_number": "740-702-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 W MAIN ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456013106",
            "telephone_number": "740-702-1181",
            "fax_number": "740-702-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON PHARMACY SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENDERSON PHARMACY SERVICES INC",
        "enumeration_date": "2017-08-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "740-702-1181",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OH",
            "license": "020450500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0619183",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "henderson pharmacy ltc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.