FRUTH PHARMACY OF OHIO INC NPI 1083963029

NPI Information

  • NPI: 1083963029
  • Provider Name: FRUTH PHARMACY OF OHIO INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: FRUTH PHARMACY 26
  • CLIA Number: 36D2048949
  • Address: 1848 STATE ROUTE 141
    IRONTON, OH
    ZIP 45638
  • Phone: (304) 675-1612

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NPI Details

FRUTH PHARMACY OF OHIO INC is a community/retail pharmacy pharmacy in Ironton, OH. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. FRUTH PHARMACY OF OHIO INC NPI is 1083963029. The provider is registered as an organization entity type.
The provider Is Doing Business As Fruth Pharmacy 26.

The provider's business location address is:

1848 STATE ROUTE 141
IRONTON, OH
ZIP 45638-213
Phone: (304) 675-1612
Fax: (304) 675-7905

The provider's authorized official is Andrew Becker .
The authorized official title is Director Of Pharmacy and has the following contact phone number (304) 675-1612.

The CLIA number assigned to this NPI record is 36D2048949 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Fee covid-19 vac 13 res (HCPCS:0124A)

The enumeration date for this NPI number is 9/6/2012 and was last updated on 3/13/2017.

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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPMY022233150OHIOYes

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
12136552OTHERPK
23810024600MEDICAIDWEST VIRGINIA
30074871MEDICAIDOHIO
41083963029MEDICAIDWEST VIRGINIA
50469090010MEDICARE NSC

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: 11/21/2025

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