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FRUTH PHARMACY OF OHIO INC NPI 1528073459


NPI Information

NPI: 1528073459
Provider Name: FRUTH PHARMACY OF OHIO INC

Doing Business As: FRUTH PHARMACY 03

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 36D1005280

Address:
2991 STATE ROUTE 160
GALLIPOLIS, OH
ZIP 45631
Phone: (740) 446-6620
Get Directions

FRUTH PHARMACY OF OHIO INC is a community/retail pharmacy pharmacy in Gallipolis, 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. FRUTH PHARMACY OF OHIO INC NPI is 1528073459. The provider is registered as an organization entity type.
The provider Is Doing Business As Fruth Pharmacy 03.

The provider's business location address is:

2991 STATE ROUTE 160
GALLIPOLIS, OH
ZIP 45631-441
Phone: (740) 446-6620
Fax: (740) 446-7849

The provider's authorized official is Andrew Becker .
The authorized official title is Director Of Pharmacy and has the following contact phone number (304) 675-1612.

The CLIA number assigned to this NPI record is 36D1005280 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 1/18/2017.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy020135300OHIOYes

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
10227766014MEDICAIDWEST VIRGINIA
21528073459MEDICAIDWEST VIRGINIA
30304861MEDICAIDOHIO
42075391OTHERPK
50469090003MEDICARE NSC

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.