HEARTLAND PHARMACY 2 LLC NPI 1083964787

NPI Information

NPI: 1083964787
Provider Name: HEARTLAND PHARMACY 2 LLC
Classification: Pharmacy - 3336C0003X
Specialization: Community/Retail Pharmacy
Entity Type: Organization
Doing Business As: HEARTLAND PHARMACY 2 LLC
Address: 2749 W ALEX BELL RD
MORAINE, OH
ZIP 45459
Phone: (937) 395-3690

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NPI Details

HEARTLAND PHARMACY 2 LLC is a community/retail pharmacy pharmacy in Moraine, 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. HEARTLAND PHARMACY 2 LLC NPI is 1083964787. The provider is registered as an organization entity type.
The provider Is Doing Business As Heartland Pharmacy 2 Llc.

The provider's business location address is:

2749 W ALEX BELL RD
MORAINE, OH
ZIP 45459-123
Phone: (937) 395-3690
Fax: (937) 395-3694

The provider's authorized official is Kindy Ghussin .
The authorized official title is Owner and has the following contact phone number (937) 829-1012.

The enumeration date for this NPI number is 9/11/2012 and was last updated on 2/25/2015.

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	333600000X	Pharmacy				No
2	3336C0004X	Pharmacy	Compounding Pharmacy			No
3	332B00000X	Durable Medical Equipment & Medical Supplies				No
4	3336C0003X	Pharmacy	Community/Retail Pharmacy	022243550	OHIO	Yes

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	2137123	OTHER		PK
2	0073255	MEDICAID	OHIO

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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