NPIMap

Organization Active NPI

Franklin Park Pharmacy LLC

  • Long Term Care Pharmacy
  • Toledo, OH
National Provider Identifier
1912524554
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
FRANKLIN PARK PHARMACY LLC
Practice address
4020 Secor Rd Unit a
Toledo, OH 43623-4273
Phone
(567) 315-8780
Fax
(567) 315-8798
NPI assigned
Jun 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Hussein HaidarNPI 1205230273
Title
Pharmacist in Charge
Phone
(419) 394-9110

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 Primary

Addresses

Primary practice location

4020 Secor Rd Unit a
Toledo, OH 43623-4273

Mailing address

4020 Secor Rd Unit a
Toledo, OH 43623-4273
Phone (567) 315-8780

Other identifiers 1

IdentifierTypeStateIssuer
0344883MedicaidOH

Other names 1

  • Franklin Park Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Franklin Park Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4020 Secor Rd
Unit A
Toledo, OH 43623
Phone (567) 315-8780

4026 Secor Rd
Ste 2
Toledo, OH 43623

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": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1912524554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 SECOR RD UNIT A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234273",
            "telephone_number": "567-315-8780",
            "fax_number": "567-315-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 SECOR RD UNIT A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234273",
            "telephone_number": "567-315-8780",
            "fax_number": "567-315-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN PARK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "HAIDAR",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "419-394-9110"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0344883",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franklin Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Franklin Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 4, 2023; 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.