Organization Active NPI

Medical University of Ohio at Toledo

  • Clinic Pharmacy
  • Toledo, OH
National Provider Identifier
1922054634
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
021453400 Issued in OH
Legal business name
MEDICAL UNIVERSITY OF OHIO AT TOLEDO
Practice address
3000 Arlington Ave # Ms 1076
Toledo, OH 43614-2595
Phone
(419) 383-3706
Fax
(419) 383-3208
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Mr. Dave Morlock
Title
Chief Executive Office
Phone
(419) 383-6668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 021453400 OH Primary

Addresses

Primary practice location

3000 Arlington Ave # Ms 1076
Toledo, OH 43614-2595

Mailing address

3000 Arlington Ave # Ms 1076
Toledo, OH 43614-2595
Phone (419) 383-3706

Other identifiers 1

IdentifierTypeStateIssuer
9111115MedicaidOH

Other names 1

  • Health Science Campus Outpatient Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3000 Arlington Ave
#1076
Toledo, OH 43614
Phone (419) 383-3750

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": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1922054634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE # MS 1076",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-3706",
            "fax_number": "419-383-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE # MS 1076",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-3706",
            "fax_number": "419-383-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL UNIVERSITY OF OHIO AT TOLEDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "MORLOCK",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICE",
        "authorized_official_telephone_number": "419-383-6668",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "OH",
            "license": "021453400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9111115",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Science Campus Outpatient 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 Mar 27, 2015; 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.