CARDINAL HEALTH 414, LLC (NPI# 1073920641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073920641 |
| Entity Type | Organization |
| Organization Name | CARDINAL HEALTH 414, LLC |
| Other Organization Name | CARDINAL HEALTH 414, LLC |
| Practice Address |
6156 Trust Dr Ste B Holland OH 43528-7860 |
| Mailing Address |
7000 Cardinal Pl Dublin OH 43017-1091 |
| Practice Telephone | 4198671077 |
| Mailing Telephone | 6147577570 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |
| Authorized Official Name | PAUL GOTTI (VP OPERATIONS) |
| Authorized Official Telephone | 6147575114 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336N0007X |
Pharmacy Specialization: Nuclear Pharmacy |
020231050 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2146685 | 01 |
| Other Name | Type Code |
|---|---|
| Cardinal Health 414, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548676794 | Cardinal Health 414, LLC | Pharmacy | 1212 Kinnear Rd, Columbus, OH 43212-1154 | 2014-07-09 |
| 1629484878 | Cardinal Health 414, LLC | Pharmacy | 2217 Arbor Blvd, Moraine, OH 45439-1521 | 2014-07-09 |
| 1366858516 | Cardinal Health 414, LLC | Pharmacy | 10400 E 48th Ave, Denver, CO 80238-2600 | 2014-07-09 |
| 1710393962 | Cardinal Health 414, LLC | Pharmacy | 846 Service Rd Rm 137e, East Lansing, MI 48824-7002 | 2014-07-09 |
| 1508272691 | Cardinal Health 414, LLC | Pharmacy | 1100 Airport N, Suite D, Ft. Wayne, IN 46825 | 2014-07-09 |
| 1275949422 | Cardinal Health 414, LLC | Pharmacy | 1950 Bentley Ct Ste 200, Glendale Heights, IL 60139-2257 | 2014-07-09 |
| 1184030330 | Cardinal Health 414, LLC | Pharmacy | 3305 Lathrop St Ste 100, South Bend, IN 46628-4400 | 2014-07-09 |
| 1457767600 | Cardinal Health 414, LLC | Pharmacy | 9864 Windisch Rd Bldg 3, West Chester, OH 45069-3806 | 2014-07-09 |
| 1598171803 | Cardinal Health 414, LLC | Pharmacy | 411 Industry Rd Ste 500, Louisville, KY 40208-1659 | 2014-07-08 |
| 1780090092 | Cardinal Health 414, LLC | Pharmacy | 7920 Georgetown Rd Ste 100, Indianapolis, IN 46268-1698 | 2014-07-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CARDINAL HEALTH 414, LLC | 7000 Cardinal Pl, Dublin, OH 43017-1091 |
| Vermont Business Registrations | CARDINAL HEALTH 414, LLC | 7000 Cardinal Pl, Dublin, OH 43017 |
| Colorado Business Entities | Cardinal Health 414, LLC | 7000 Cardinal Pl, Dublin, OH 43017 |
| Oregon Corporations, Companies and Business Names | CARDINAL HEALTH 414, LLC | 7000 Cardinal Pl, Dublin, OH 43017 |
| Iowa Business Entities | CARDINAL HEALTH 414, LLC | 7000 Cardinal Pl, Dublin, OH 43017 |
| Oklahoma Business Registrations | CARDINAL HEALTH 414, LLC | 7000 Cardinal Place, Dublin, OH 43017 |
| Connecticut Business Registrations | CARDINAL HEALTH 414, LLC | 7000 Cardinal Place, Dublin, OH 43017 |
| Washington State Corporations | CARDINAL HEALTH 414, LLC | 7000 Cardinal Pl, Dublin, OH 43017-1091 |
| Massachusetts Corporations | CARDINAL HEALTH 414, LLC | 7000 Cardinal Pl., Dublin, OH 43017 |
| Street Address |
6156 TRUST DR STE B |
| City | HOLLAND |
| State | OH |
| Zip Code | 43528-7860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542345 | Bobbi Stall | Technician | 1027 Raymil, Holland, OH 43528 | 2020-09-15 |
| 1336789049 | Diana Kobylak | Licensed Practical Nurse | Racing for Recovery, 6202 Trust Dr., Holland, OH 43528 | 2020-01-10 |
| 1982262291 | Raven Diane Hannah | Licensed Vocational Nurse | 350 South Irwin Rd, Holland, OH 43528 | 2019-06-01 |
| 1881163988 | Brandon Scott Smith | Counselor | 350 S Irwin Road, Holland, OH 43528 | 2018-11-19 |
| 1184199432 | Pamela Adrienne Wilson | Rehabilitation Counselor | 350 S. Irwin Road, Holland, OH 43528 | 2018-10-12 |
| 1023509460 | Shaunte Harris | Counselor | 350 S Irwin, Holland, OH 43528 | 2018-05-22 |
| 1982193314 | William Floyd Johnson | Counselor | 350 S. Irwin, Holland, OH 43528 | 2018-05-01 |
| 1174025100 | Samantha Hoelzer | Optometrist | 1460 Spring Meadows Drive, E100, Holland, OH 43528 | 2018-03-06 |
| 1780186262 | Vicki Gottfried | Community/Behavioral Health | 7015 Spring Meadows West Drive Suite 102, Holland, OH 43528 | 2018-03-01 |
| 1922519859 | Shaunta Marie Grier | Licensed Practical Nurse | 350 S Irwin Street, Holland, OH 43528 | 2017-10-18 |
| Find all providers in zip 43528 | ||||
| Taxonomy Code | 3336N0007X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Nuclear Pharmacy |
| A pharmacy dedicated to the compounding and dispensing of radioactive materials for use in nuclear imaging and nuclear medical procedures. |
| 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 |
|---|---|---|---|---|
| 1548676794 | Cardinal Health 414, LLC | Pharmacy | 1212 Kinnear Rd, Columbus, OH 43212-1154 | 2014-07-09 |
| 1629484878 | Cardinal Health 414, LLC | Pharmacy | 2217 Arbor Blvd, Moraine, OH 45439-1521 | 2014-07-09 |
| 1457767600 | Cardinal Health 414, LLC | Pharmacy | 9864 Windisch Rd Bldg 3, West Chester, OH 45069-3806 | 2014-07-09 |
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| 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.