MEDISERV TOWN STREET PHARMACY NPI 1487732996

NPI Information

NPI: 1487732996
Provider Name: MEDISERV TOWN STREET PHARMACY
Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
867 W TOWN ST
COLUMBUS, OH
ZIP 43222
Phone: (614) 461-1859
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MEDISERV TOWN STREET PHARMACY 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 TOWN STREET PHARMACY NPI is 1487732996. The provider is registered as an organization entity type.

The provider's business location address is:

867 W TOWN ST
COLUMBUS, OH
ZIP 43222-647
Phone: (614) 461-1859
Fax: (614) 461-1022

The provider's authorized official is Tracy Hammond .
The authorized official title is Tird 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	3656216	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	0853572	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: 4/28/2024

NPI Synchronization or Removal

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