SECUNDUM ARTEM ENTERPRISES INC NPI 1295890614

NPI Details

SECUNDUM ARTEM ENTERPRISES INC is a community/retail pharmacy pharmacy in Urbana, 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. SECUNDUM ARTEM ENTERPRISES INC NPI is 1295890614. The provider is registered as an organization entity type.
The provider Is Doing Business As Medicine Shoppe.

The provider's business location address is:

821 SCIOTO ST
URBANA, OH
ZIP 43078-223
Phone: (937) 653-3914
Fax: (937) 653-5894

The provider's authorized official is Bryan Thompson .
The authorized official title is Owner Pharmacist and has the following contact phone number (937) 653-3914.

The CLIA number assigned to this NPI record is 36D2195839 - 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)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
• Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
• Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
• Administration of pneumococcal vaccine (HCPCS:G0009)
• Adm sarscv2 30mcg trs-sucr 3 (HCPCS:0053A)

The enumeration date for this NPI number is 12/26/2006 and was last updated on 3/7/2023.

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:

Other Identifiers

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