Organization Active NPI

Allen'S Medical Pharmacy, Inc.

  • Pharmacy
  • Chillicothe, OH
National Provider Identifier
1962488155
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
02-0512850 Issued in OH
Legal business name
ALLEN'S MEDICAL PHARMACY, INC.
Practice address
215 Old Eastern Ave
Chillicothe, OH 45601-3462
Phone
(740) 772-5180
Fax
(740) 772-5483
NPI assigned
Dec 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Kevin Allen
Title
Owner
Phone
(740) 772-5180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 02-0512850 OH Primary

Addresses

Primary practice location

215 Old Eastern Ave
Chillicothe, OH 45601-3462

Mailing address

215 Old Eastern Ave
Chillicothe, OH 45601-3462
Phone (740) 772-5180

Other identifiers 1

IdentifierTypeStateIssuer
0124752MedicaidOH

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930075773 OH DME Supplier - Pharmacy 1557488830 Practice locations: Chillicothe, OH
O20170711001235 OH Part B Supplier - Mass Immunization (Roster Biller Only) 1557488830 Practice locations: Chillicothe, OH

National Provider Directory

National Provider Directory
Tax ID family
Allen'S Medical Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

215 Old Eastern Ave
Chillicothe, OH 45601
Phone (740) 772-5180

Practitioners & affiliated clinicians

Practitioners 5

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": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1962488155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 OLD EASTERN AVE",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456013462",
            "telephone_number": "740-772-5180",
            "fax_number": "740-772-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 OLD EASTERN AVE",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456013462",
            "telephone_number": "740-772-5180",
            "fax_number": "740-772-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN'S MEDICAL PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-772-5180"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "02-0512850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0124752",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.