Medicine Shoppe 2000 LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MEDICINE SHOPPE 2000 LLC

Practice address

114 N Main St
Baltimore, OH 43105-1210

Phone

(740) 862-4240

NPI assigned

Apr 14, 2025

Organization subpart

No

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

Authorized official

Name

Tamer Ibrahim

Title

President

Phone

(330) 412-7442

Specialties & licenses 1

Addresses

Other names 1

• Medicine Shoppe 2000 LTC Doing business as

Tax ID family

Medicine Shoppe 20002 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.

• Medicine Shoppe 2000 LLC

  • Community/Retail Pharmacy
  • Baltimore, OH
  • NPI 1609889575
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy R Hargett, PHARMD, RPH

  • Pharmacist
  • Baltimore, OH
  • NPI 1891318242
  NPD

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1992590566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6732 BRODIE BLVD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430178046",
            "telephone_number": "330-412-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N MAIN ST",
            "city": "BALTIMORE",
            "state": "OH",
            "postal_code": "431051210",
            "telephone_number": "740-862-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE SHOPPE 2000 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "TAMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-412-7442"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe 2000 LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martin J Lohne, MD
• Traci Mason, OCPC
• Melissa Suzanne Massey-Smith
• Marnie McIntire
• Medicine Shoppe 2000 LLC
• Tarun Mehra, M.D.
• Michael Kim O'Toole
• Oasis Day Club LLC
• Patrick L Rankin DDS & Assoc LLC
• Lala Renee Porter, RN

• All providers in Baltimore, OH
• Long Term Care Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.