Organization Active NPI

University Urgent Care and Pharmacy LLC

  • Urgent Care Clinic/Center
  • Toledo, OH
National Provider Identifier
1992686349
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
UNIVERSITY URGENT CARE AND PHARMACY LLC
Practice address
3065 W Bancroft St Ste a
Toledo, OH 43606-3353
Phone
(419) 720-2273
Fax
(419) 836-0112
NPI assigned
Sep 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Mohamad MoussaNPI 1548471493
Title
Owner of Entity
Phone
(419) 344-8669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3065 W Bancroft St Ste a
Toledo, OH 43606-3353

Mailing address

3065 W Bancroft St Ste a
Toledo, OH 43606-3353
Phone (419) 720-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260204002785 OH Part B Supplier - Clinic/Group Practice 9931688587 Receives reassigned benefits from 7 practitioners
Practice locations: Toledo, 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2332054University Urgent Care and Pharmacy, LLC3065 W Bancroft St, Unit a, Toledo, OH 43606Certificate of waiverOct 13, 2027

National Provider Directory

National Provider Directory

Locations

3065 W Bancroft St
Ste A
Toledo, OH 43606
Phone (419) 340-0240

Practitioners & affiliated clinicians

Practitioners 7

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": "1757548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1992686349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 W BANCROFT ST STE A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063353",
            "telephone_number": "419-720-2273",
            "fax_number": "419-836-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 W BANCROFT ST STE A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063353",
            "telephone_number": "419-720-2273",
            "fax_number": "419-836-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY URGENT CARE AND PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-11",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "MOUSSA",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "419-344-8669"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.