Active NPI
Polaris Pharmacy Services of Ohio LLC
- Long Term Care Pharmacy
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 OH
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Polaris Pharmacy Services of Ohio | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Otterbein Cridersville | Skilled nursing facility | Adp of the SNF | Dec 1, 2018 |
| Otterbein St Marys | Skilled nursing facility | Adp of the SNF | Dec 1, 2018 |
| Otterbein Lebanon | Skilled nursing facility | Adp of the SNF | Dec 1, 2018 |
| Otterbein at Granville | Skilled nursing facility | Adp of the SNF | Dec 1, 2018 |
| Otterbein Marblehead | Skilled nursing facility | Adp of the SNF | Dec 1, 2018 |
| Avalon by Otterbein Monclova | Skilled nursing facility | Adp of the SNF | Dec 1, 2018 |
| Otterbein Clearcreek | Skilled nursing facility | Adp of the SNF | Dec 1, 2018 |
| Avalon by Otterbein at Atrium | Skilled nursing facility | Adp of the SNF | Dec 1, 2018 |
| Otterbein Maineville, LLC | Skilled nursing facility | Adp of the SNF | Dec 1, 2018 |
| Otterbein Sunset Village | Skilled nursing facility | Adp of the SNF | Dec 1, 2018 |
| Otterbein Sunset House | Skilled nursing facility | Adp of the SNF | Dec 1, 2021 |
| Otterbein Portage Valley Inc | Skilled nursing facility | Adp of the SNF | Dec 1, 2018 |
| Otterbein Franklin Seniorlife Community Residential & Comprehensive Ca | Skilled nursing facility | Adp of the SNF | Dec 1, 2018 |
| Otterbein New Albany LLC | Skilled nursing facility | Adp of the SNF | Dec 1, 2018 |
| Otterbein Batavia LLC | Skilled nursing facility | Adp of the SNF | Dec 1, 2018 |
| Otterbein Loveland LLC | 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.
-
dba Otterbein North Shore Retirement Living Community
- Skilled Nursing Facility
- Lakeside, OH
- NPI 1760605000
Adp of the SNF
-
dba Avalon by Otterbein Clear Creek
- Skilled Nursing Facility
- Centerville, OH
- NPI 1992977516
Adp of the SNF
-
dba Avalon by Otterbein at Maineville
- Skilled Nursing Facility
- Maineville, OH
- NPI 1023337847
Adp of the SNF
-
dba Avalon by Otterbein Atrium
- Skilled Nursing Facility
- Franklin, OH
- NPI 1174795793
Adp of the SNF
-
dba Avalon by Otterbein Monclova
- Skilled Nursing Facility
- Monclova, OH
- NPI 1801919584
Adp of the SNF
-
- Skilled Nursing Facility
- Pemberville, OH
- NPI 1629060058
Adp of the SNF
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.