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GOOD SAMARITAN OUTPATIENT PHARMACY NPI 1497842991


NPI Information

NPI: 1497842991
Provider Name: GOOD SAMARITAN OUTPATIENT PHARMACY
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 36D2215821

Address:
375 DIXMYTH AVE
CINCINNATI, OH
ZIP 45220
Phone: (513) 872-1559
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GOOD SAMARITAN OUTPATIENT PHARMACY is a community/retail pharmacy pharmacy in Cincinnati, 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. GOOD SAMARITAN OUTPATIENT PHARMACY NPI is 1497842991. The provider is registered as an organization entity type.

The provider's business location address is:

375 DIXMYTH AVE
CINCINNATI, OH
ZIP 45220
Phone: (513) 872-1559
Fax: (513) 475-5878

The provider's authorized official is Leonard Kaes .
The authorized official title is Pharmacy Manager and has the following contact phone number (513) 872-3550.

The CLIA number assigned to this NPI record is 36D2215821 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 10/8/2010.


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
13336C0003XPharmacyCommunity/Retail Pharmacy020030650OHIOYes

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
13661851OTHEROHIONCPDP
22312867MEDICAIDOHIO
3020030650OTHEROHIOTERMINAL DISTRIBUTER

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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