NPIMap

Organization Active NPI

IHS Pharmacy and Wellness Ctr LLC

Doing business as IHS Pharmacy and Wellness Ctr

  • Community/Retail Pharmacy
  • Fairborn, OH
National Provider Identifier
1952351637
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
021584000 Issued in OH
Legal business name
IHS PHARMACY AND WELLNESS CTR LLC
Doing business as
IHS Pharmacy and Wellness Ctr
Practice address
77 S Central Ave
Fairborn, OH 45324-4716
Phone
(937) 482-0328
Fax
(937) 482-0342
NPI assigned
May 11, 2006
Last updated
Oct 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Authorized official

Name
Stephen Weeks, RPH
Title
Owner
Phone
(513) 257-5309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 021584000 OH Primary

Addresses

Primary practice location

77 S Central Ave
Fairborn, OH 45324-4716

Mailing address

77 S Central Ave
Fairborn, OH 45324-4716
Phone (937) 482-0328

Other identifiers 1

IdentifierTypeStateIssuer
3674505OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • IHS PHARMACY AND WELLNESS CTR Doing business as

National Provider Directory

National Provider Directory
Tax ID family
IHS Pharmacy and Wellness Center LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1952351637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 S CENTRAL AVE",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453244716",
            "telephone_number": "937-482-0328",
            "fax_number": "937-482-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 S CENTRAL AVE",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453244716",
            "telephone_number": "937-482-0328",
            "fax_number": "937-482-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHS PHARMACY AND WELLNESS CTR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-257-5309",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "021584000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3674505",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IHS PHARMACY AND WELLNESS CTR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairborn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.