Clinic Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RTP02047190003 Issued in OH

Legal business name

CLINIC PHARMACY INC

Practice address

1000 E Broad St
Columbus, OH 43205-1381

Phone

(614) 252-4348

Fax

(614) 252-5079

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

John Petrie

Title

Pres

Phone

(614) 252-4348

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CLINIC PHARMACY Doing business as

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1962584763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051381",
            "telephone_number": "614-252-4348",
            "fax_number": "614-252-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051381",
            "telephone_number": "614-252-4348",
            "fax_number": "614-252-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "PETRIE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "614-252-4348"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "RTP02047190003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2075563",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0634559",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinohio Research Services, LLC
• Clinton Township

• All providers in Columbus, OH
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.