Organization Active NPI

HMT Dermatology Associates, Inc.

  • Community/Retail Pharmacy
  • Medina, OH
National Provider Identifier
1942720016
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PMY.02748400-03 Issued in OH
Legal business name
HMT DERMATOLOGY ASSOCIATES, INC.
Doing business as
Kwik-Fil Pharmacy
Practice address
5779 Wooster Pike
Suite a
Medina, OH 44256-8816
Phone
(888) 245-5590
Fax
(888) 245-5650
NPI assigned
Jun 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Authorized official

Name
Tammie Miskimins
Title
Manager, Pharmacy Licensing/Contrac
Phone
(817) 572-0009

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PMY.02748400-03 OH Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

5779 Wooster Pike
Suite a
Medina, OH 44256-8816

Mailing address

1620 W. Northwest Hwy
Suite 100
Grapevine, TX 76051
Phone (817) 572-0009

Other identifiers 1

IdentifierTypeStateIssuer
2169958OtherPK

Other names 1

  • Kwik-Fil Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

5779 Wooster Pike
Ste A
Medina, OH 44256
Phone (888) 245-5590

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": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498003200000",
    "number": "1942720016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 W. NORTHWEST HWY",
            "address_2": "SUITE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "76051",
            "telephone_number": "817-572-0009",
            "fax_number": "817-720-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5779 WOOSTER PIKE",
            "address_2": "SUITE A",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568816",
            "telephone_number": "888-245-5590",
            "fax_number": "888-245-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HMT DERMATOLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A",
        "authorized_official_last_name": "MISKIMINS",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_title_or_position": "MANAGER, PHARMACY LICENSING/CONTRAC",
        "authorized_official_telephone_number": "817-572-0009"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "PMY.02748400-03",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2169958",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kwik-Fil Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; 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.