PANTHERX SPECIALTY LLC (NPI# 1033625470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033625470 |
| Entity Type | Organization |
| Organization Name | PANTHERX SPECIALTY LLC |
| Other Organization Name | PANTHERX SPECIALTY PHARMACY |
| Practice Address |
6715 Tippecanoe Rd Ste C1 Canfield OH 44406-8180 |
| Practice Telephone | 8557268479 |
| Practice Fax Number | 8552463986 |
| Mailing Telephone | 8557268479 |
| Mailing Fax Number | 8552463986 |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2020-09-17 |
| Authorized Official Name | TIMOTHY DAVIS (GENERAL MANAGER) |
| Authorized Official Telephone | 4122469858 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PMY.022818000-0 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2174969 | 01 |
| Other Name | Type Code |
|---|---|
| PANTHERx Specialty Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750843314 | Pantherx Specialty LLC | Pharmacy | 1120 Stevenson Mill Rd Ste 400, Coraopolis, PA 15108-2446 | 2019-04-03 |
| 1659762524 | Pantherx Specialty LLC | Pharmacy | 24 Summit Park Dr Ste 101, Pittsburgh, PA 15275-1104 | 2015-02-12 |
| 1316213531 | Pantherx Specialty LLC | Pharmacy | 24 Summit Park Dr, Suite 101, Pittsburgh, PA 15275 | 2012-04-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PANTHERX SPECIALTY LLC | 24 Summit Park Dr Ste 101, Pittsburgh, PA 15275-1104 |
| Vermont Business Registrations | PANTHERX SPECIALTY LLC | 24 Summit Park Dr Ste 101, Pittsburgh, PA 15275 |
| Street Address |
6715 TIPPECANOE RD STE C1 |
| City | CANFIELD |
| State | OH |
| Zip Code | 44406-8180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952802282 | Julie Nicole Austalosh | Case Manager/Care Coordinator | 3711 Indian Run Dr Apt 7, Canfield, OH 44406 | 2018-02-22 |
| 1073064887 | Abby Smith | Specialist/Technologist | 250 Lake Pointe Circle, Canfield, OH 44406 | 2016-10-17 |
| 1255887949 | Chris Smallwood II | Driver | 6128 St Andrews Dr, Canfield, OH 44406 | 2016-09-01 |
| 1831572064 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 41 Talsman Drive, Youngstown, OH 44406 | 2015-07-07 |
| 1568845790 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 3222 Forty Second Street, Youngstown, OH 44406 | 2015-07-07 |
| 1003212051 | Diane Pool | Registered Nurse | 100 Wadsworth Street, Canfield, OH 44406 | 2014-11-18 |
| 1215353990 | Jeanne Siverd | Occupational Therapy Assistant | 11300 Columbiana-canfield Rd., Suite E, Canfield, OH 44406 | 2014-03-05 |
| 1134565641 | Dema Halasa Esper | Dietitian, Registered | 52 Timber Run Dr., Canfield, OH 44406 | 2013-05-13 |
| 1851680615 | Kimberly Jean Fyock | Licensed Practical Nurse | 7720 Lydia Ln, Canfield, OH 44406 | 2011-04-01 |
| 1205060654 | Jennifer L Morris | Registered Nurse | 3787 Mercedes Place, Canfield, OH 44406 | 2009-05-13 |
| Find all providers in zip 44406 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083038368 | Ohio State University Outpatient Pharmacy | Pharmacy | 600 Ackerman Rd, Suite E1014, Columbus, OH 43202-4500 | 2014-02-07 |
| 1669728473 | Pharmacy Specialty Group, LLC | Pharmacy | 6910 Treeline Dr Ste G, Brecksville, OH 44141 | 2012-07-30 |
| 1649507815 | The Cleveland Clinic Foundation | Pharmacy | 3175 Science Park Dr, Ac4b-100, Beachwood, OH 44122-7327 | 2009-11-09 |
| 1801013909 | Rc Compounding Services LLC | Pharmacy | 3030 Center Rd, Poland, OH 44514-2158 | 2007-04-19 |
| 1255471538 | Kids N Kures Pharmacy | Pharmacy | 1419 Boardman Canfield Rd, Boardman, OH 44512-8062 | 2007-02-07 |
| 1649339649 | Ritzman Pharmacies Inc | Pharmacy | 390 Robinson Ave, Suite A, Barberton, OH 44203-3657 | 2006-12-06 |
| 1285703496 | Apria Healthcare, Inc. | Pharmacy | 4060 Technology Dr, Maumee, OH 43537-9263 | 2006-11-06 |
| 1033296363 | Community Care Network Inc | Pharmacy | 3167 Fulton Rd Ste 111, Cleveland, OH 44109-1465 | 2006-11-01 |
| 1750485710 | K-c Health Services Inc | Pharmacy | 4016 Massillon Rd, Ste B, Uniontown, OH 44685-7818 | 2006-09-12 |
| 1760495089 | Southeast Inc | Pharmacy | 131 N High St, Columbus, OH 43215-3018 | 2006-08-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PANTHERX SPECIALTY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.