Organization Active NPI

Czup Fowler LTD

  • Community/Retail Pharmacy
  • Ashtabula, OH
National Provider Identifier
1992820179
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RTP021657500 Issued in OH
Legal business name
CZUP FOWLER LTD
Practice address
2323 Lake Ave
Ashtabula, OH 44004-3439
Phone
(440) 992-3000
Fax
(440) 992-3300
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Maria Fowler, RPHNPI 1518679794
Title
Owner
Phone
(440) 992-3000

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X RTP021657500 OH Primary

Addresses

Primary practice location

2323 Lake Ave
Ashtabula, OH 44004-3439

Mailing address

2323 Lake Ave
Ashtabula, OH 44004-3439
Phone (440) 992-3000

Other identifiers 2

IdentifierTypeStateIssuer
2072161OtherPK
4001805MedicaidOH

Other names 1

  • HOFFMANS PHARMACY Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930059919 OH DME Supplier - Pharmacy 3476759309 Practice locations: Ashtabula, OH
O20181114000753 OH Part B Supplier - Mass Immunization (Roster Biller Only) 3476759309 Practice locations: Ashtabula, 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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Czup Fowler LTD2323 Lake Ave, Ashtabula, OH 44004-3439(440) 992-3000 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|Canes and/or Crutches|Walkers|Orthoses: Off-… Does not accept assignmentParticipating since Apr 7, 2008

National Provider Directory

National Provider Directory

Locations

2323 Lake Ave
Ashtabula, OH 44004
Phone (440) 992-3000

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1992820179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043439",
            "telephone_number": "440-992-3000",
            "fax_number": "440-992-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043439",
            "telephone_number": "440-992-3000",
            "fax_number": "440-992-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CZUP FOWLER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-992-3000",
        "authorized_official_credential": "RPH"
    },
    "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": "RTP021657500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2072161",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4001805",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOFFMANS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.