Mediserv Short North Pharmacy

LBN: Mediserv Short North Phcy Inc
Mediserv Short North Pharmacy is an health care organization with primary practice located at 21 W Hubbard Ave Ste B, Columbus OH 43215-1474. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Mediserv Short North Phcy Inc can be contacted via phone (614) 294-6231, or through Hammond, Tracy via phone (614) 481-4272.

Contact Information

Primary practice address
21 W Hubbard Ave Ste B Columbus OH 43215-1474
Phone: (614) 294-6231
Fax: (614) 294-6223
Website:
Map and Directions
Authorized official contact:
Name: Hammond, Tracy
Phone: (614) 481-4272

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X Ohio

Profile Details

NPI number 1659459162
LBN Legal business name Mediserv Short North Phcy Inc
DBA Doing business as Mediserv Short North Pharmacy
Authorized official Hammond, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659459162 NPPES
Ohio MEDICAID 2605701
Ohio Other 3673779

Popular Providers