MEDISERV SHORT NORTH PHCY INC NPI 1659459162

NPI Information

NPI: 1659459162
Provider Name: MEDISERV SHORT NORTH PHCY INC

Doing Business As: MEDISERV SHORT NORTH PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
21 W HUBBARD AVE
STE B
COLUMBUS, OH
ZIP 43215
Phone: (614) 294-6231
Get Directions

MEDISERV SHORT NORTH PHCY INC is a clinic pharmacy pharmacy in Columbus, OH. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. MEDISERV SHORT NORTH PHCY INC NPI is 1659459162. The provider is registered as an organization entity type.
The provider Is Doing Business As Mediserv Short North Pharmacy.

The provider's business location address is:

21 W HUBBARD AVE
STE B
COLUMBUS, OH
ZIP 43215-474
Phone: (614) 294-6231
Fax: (614) 294-6223

The provider's authorized official is Tracy Hammond .
The authorized official title is Third Party Admin and has the following contact phone number (614) 481-4272.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336C0002X	Pharmacy	Clinic Pharmacy			Yes
2	3336C0003X	Pharmacy	Community/Retail Pharmacy		OHIO	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2605701	MEDICAID	OHIO
2	3673779	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »