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TADEK INC NPI 1487713194


NPI Information

NPI: 1487713194
Provider Name: TADEK INC

Doing Business As: HOMETOWN PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 36D2017841

Address:
3623 S MERIDIAN RD
YOUNGSTOWN, OH
ZIP 44511
Phone: (330) 793-4555
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TADEK INC is a community/retail pharmacy pharmacy in Youngstown, 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. TADEK INC NPI is 1487713194. The provider is registered as an organization entity type.
The provider Is Doing Business As Hometown Pharmacy.

The provider's business location address is:

3623 S MERIDIAN RD
YOUNGSTOWN, OH
ZIP 44511-622
Phone: (330) 793-4555
Fax: (330) 793-5590

The provider's authorized official is Ronald Mcdermott .
The authorized official title is Svp Operations and has the following contact phone number (330) 318-3926.

The CLIA number assigned to this NPI record is 36D2017841 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 3/28/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336S0011XPharmacySpecialty PharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy021244850OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12237234MEDICAIDOHIO
2H524020OTHEROHIOMASS IMMUNIZER

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

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