Organization Active NPI

Polaris Pharmacy Services of Ohio LLC

  • Long Term Care Pharmacy
  • Columbus, OH
National Provider Identifier
1962271650
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
POLARIS PHARMACY SERVICES OF OHIO LLC
Practice address
1264 N Wilson Road
Columbus, OH 43204
Phone
(800) 589-9747
Fax
(954) 923-9261
NPI assigned
Dec 22, 2023
Last updated
Jan 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Gina Hunt
Title
Corporate Director of Compliance Co
Phone
(800) 589-9747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1264 N Wilson Road
Columbus, OH 43204

Mailing address

2900 NW 60TH St
Fort Lauderdale, FL 33309-1774
Phone (800) 589-9747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240613001967 OH Part B Supplier - Pharmacy 0941743348 Practice locations: Columbus, OH
O20241216000650 OH DME Supplier - Pharmacy 0941743348 Practice locations: Columbus, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Polaris Pharmacy Services of Ohio1264 N Wilson Road, Columbus, OH 43204-1574(888) 856-0451 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Mar 31, 2024

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 16

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Otterbein CridersvilleCridersville, OH, CCN 366050 Skilled nursing facility Adp of the SNF Dec 1, 2018
Otterbein St MarysSaint Marys, OH, CCN 365953 Skilled nursing facility Adp of the SNF Dec 1, 2018
Otterbein LebanonLebanon, OH, CCN 365346 Skilled nursing facility Adp of the SNF Dec 1, 2018
Otterbein at GranvilleGranville, OH, CCN 366314 Skilled nursing facility Adp of the SNF Dec 1, 2018
Otterbein MarbleheadLakeside, OH, CCN 366358 Skilled nursing facility Adp of the SNF Dec 1, 2018
Avalon by Otterbein MonclovaMonclova, OH, CCN 366361 Skilled nursing facility Adp of the SNF Dec 1, 2018
Otterbein ClearcreekCenterville, OH, CCN 366368 Skilled nursing facility Adp of the SNF Dec 1, 2018
Avalon by Otterbein at AtriumFranklin, OH, CCN 366376 Skilled nursing facility Adp of the SNF Dec 1, 2018
Otterbein Maineville, LLCMaineville, OH, CCN 366393 Skilled nursing facility Adp of the SNF Dec 1, 2018
Otterbein Sunset VillageSylvania, OH, CCN 366242 Skilled nursing facility Adp of the SNF Dec 1, 2018
Otterbein Sunset HouseToledo, OH, CCN 366148 Skilled nursing facility Adp of the SNF Dec 1, 2021
Otterbein Portage Valley IncPemberville, OH, CCN 365571 Skilled nursing facility Adp of the SNF Dec 1, 2018
Otterbein Franklin Seniorlife Community Residential & Comprehensive CaFranklin, IN, CCN 155771 Skilled nursing facility Adp of the SNF Dec 1, 2018
Otterbein New Albany LLCNew Albany, OH, CCN 366424 Skilled nursing facility Adp of the SNF Dec 1, 2018
Otterbein Batavia LLCBatavia, OH, CCN 366439 Skilled nursing facility Adp of the SNF Dec 1, 2018
Otterbein Loveland LLCLoveland, OH, CCN 366445 Skilled nursing facility Adp of the SNF Dec 1, 2018

Owned or controlled facilities with NPI records 16

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1962271650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 NW 60TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091774",
            "telephone_number": "800-589-9747",
            "fax_number": "954-923-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 N WILSON ROAD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43204",
            "telephone_number": "800-589-9747",
            "fax_number": "954-923-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS PHARMACY SERVICES OF OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR OF COMPLIANCE CO",
        "authorized_official_telephone_number": "800-589-9747"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.