New Middletown Village Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

020115550 Issued in OH

Legal business name

NEW MIDDLETOWN VILLAGE PHARMACY INC.

Doing business as

Village Pharmacy

Practice address

10395 Main St
New Middletown, OH 44442-0289

Phone

(330) 542-2802

Fax

(330) 542-2035

NPI assigned

Nov 13, 2006

Last updated

May 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark William Johnson, RPHNPI 1023609997

Title

Pharmacy Manager

Phone

(330) 542-2802

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• VILLAGE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 4

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.

• Mark Johnson, RPH

  • Pharmacist
  • New Middletown, OH
  • NPI 1023609997
  NPD Authorized official
• Stephanie W Carano

  • Pharmacist
  • New Middletown, OH
  • NPI 1356033716
  NPD
• Maria Kiraly, PHARMD

  • Pharmacist
  • New Middletown, OH
  • NPI 1386303436
  NPD (past)
• Jayanne Christine Silvers, R.PH.

  • Pharmacist
  • Bessemer, PA
  • NPI 1376727586
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1952473407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 289",
            "city": "NEW MIDDLETOWN",
            "state": "OH",
            "postal_code": "444420289",
            "telephone_number": "330-542-2802",
            "fax_number": "330-542-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10395 MAIN ST",
            "city": "NEW MIDDLETOWN",
            "state": "OH",
            "postal_code": "444420289",
            "telephone_number": "330-542-2802",
            "fax_number": "330-542-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MIDDLETOWN VILLAGE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "330-542-2802",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "020115550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9064506",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3623318",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DANGEROUS DRUG LICENSE",
            "identifier": "020115550",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronald L Lipp, DDS
• Anna M Magura, CDCA
• Graham Mincher
• Katherine Moffett
• Britnie Mohn
• Omni Manor, Inc.
• Phillip Arsuffi DMD LLC (Arsuffi Family Dental)
• John Bennett Polansky, RT(R),RDCS,RVT
• Erica Porch
• Richard G Wise DO Inc

• Community/Retail Pharmacy in New Middletown, OH
• Providers in New Middletown, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.