SOUTHERN OHIO MEDICAL CENTER (NPI# 1316341373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316341373 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OHIO MEDICAL CENTER |
| Other Organization Name | SOUTHERN OHIO MEDICAL CENTER PHARMACY |
| Practice Address |
1805 27th St Portsmouth OH 45662-2640 |
| Practice Telephone | 7403568060 |
| Practice Fax Number | 7403568514 |
| Mailing Telephone | 7403568113 |
| Mailing Fax Number | 7403568514 |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2017-03-20 |
| Authorized Official Name | RORY PHILLIPS (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 7403568113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
022457650 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2148395 | 01 |
| Other Name | Type Code |
|---|---|
| SOUTHERN OHIO MEDICAL CENTER PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790716553 | Southern Ohio Medical Center | Home Health | 724 8th Street, Portsmouth, OH 45662 | 2006-07-06 |
| 1053342816 | Southern Ohio Medical Center | Clinical Medical Laboratory | 1805 27th Street, Portsmouth, OH 45662 | 2006-07-06 |
| 1790397784 | Southern Ohio Medical Center | Pharmacy | 1805 27th St, Portsmouth, OH 45662-2640 | 2020-08-20 |
| 1962861047 | Southern Ohio Medical Center | Pharmacy | 1248 Kinneys Ln, Portsmouth, OH 45662-2927 | 2016-02-17 |
| 1366816043 | Southern Ohio Medical Center | Pharmacy | 8770 Ohio River Rd, Wheelersburg, OH 45694-1918 | 2015-11-18 |
| 1386059228 | Southern Ohio Medical Center | Pharmacy | 90 Cic Blvd, West Union, OH 45693-8024 | 2014-06-30 |
| 1174862676 | Southern Ohio Medical Center | Home Health | 207 Plummers Ln, Suite 12, Vanceburg, KY 41179-7683 | 2013-02-05 |
| 1144578436 | Southern Ohio Medical Center | Psychiatric Unit | 1805 27th St, Portsmouth, OH 45662-2640 | 2012-08-17 |
| 1760799415 | Southern Ohio Medical Center | General Acute Care Hospital | 1121 Kinneys Ln, Portsmouth, OH 45662-2806 | 2010-09-01 |
| 1043420755 | Southern Ohio Medical Center | General Acute Care Hospital | 1805 27th St, Portsmouth, OH 45662-2640 | 2007-05-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHERN OHIO MEDICAL CENTER | 1248 Kinneys Ln, Portsmouth, OH 45662-2927 |
| Street Address |
1805 27TH ST |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45662-2640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023011137 | Loretta A Settonni | Specialist | 1805 27th St, Portsmouth, OH 45662-2640 | 2005-05-23 |
| 1184238453 | Elizabeth Rose Swisher | Pharmacist | 1805 27th St, Portsmouth, OH 45662-2640 | 2020-09-03 |
| 1790397784 | Southern Ohio Medical Center | Pharmacy | 1805 27th St, Portsmouth, OH 45662-2640 | 2020-08-20 |
| 1427676279 | Edwiin D Parra Munoz | Nurse Anesthetist, Certified Registered | 1805 27th St, Portsmouth, OH 45662-2640 | 2020-07-08 |
| 1386262251 | Charles Richard Roberts IIi | Nurse Anesthetist, Certified Registered | 1805 27th St, Portsmouth, OH 45662-2640 | 2020-07-08 |
| 1720619059 | Lacie Jo Smith | Nurse Practitioner | 1805 27th St, Portsmouth, OH 45662-2640 | 2020-01-27 |
| 1730729450 | Aaron Michael Meenach | Nurse Practitioner | 1805 27th St, Portsmouth, OH 45662-2640 | 2020-01-10 |
| 1386289411 | Hope Ann Morgan | Family Medicine | 1805 27th St, Portsmouth, OH 45662-2640 | 2019-11-13 |
| 1053952994 | Erika Valerie Lawson | Nurse Practitioner | 1805 27th St, Portsmouth, OH 45662-2640 | 2019-10-02 |
| 1114589413 | David Taylor Newman | Nurse Anesthetist, Certified Registered | 1805 27th St, Portsmouth, OH 45662-2640 | 2019-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
| 1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
| 1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| 1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
| 1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
| 1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
| 1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
| 1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
| Find all providers in zip 45662 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| 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 |
|---|---|---|---|---|
| 1659761914 | Premier Compounding Center LLC | Pharmacy | 137 Chase Rd, Portsmouth, RI 02871-3243 | 2015-01-26 |
| 1003241332 | Scioto County Counseling Center | Pharmacy | 923 Finley Street, Portsmouth, OH 45662 | 2013-09-05 |
| 1881968345 | Harris Teeter, LLC | Pharmacy | 3249 Tyre Neck Rd, Portsmouth, VA 23703-3328 | 2012-03-01 |
| 1962585224 | Cvs Manchester Nh, L.L.C. | Pharmacy | 674 Islington St, Portsmouth, NH 03801-4216 | 2006-10-23 |
| 1548275597 | Walgreen Co | Pharmacy | 5917 High St W, Portsmouth, VA 23703-4505 | 2006-07-29 |
| 1093720039 | Walgreen Co | Pharmacy | 700 Frederick Blvd, Portsmouth, VA 23707-3314 | 2006-07-29 |
| 1154845352 | Compass Community Health | Pharmacy | 1634 11th St, Portsmouth, OH 45662-4526 | 2017-07-29 |
| 1144648692 | Bbd Pharm Inc | Pharmacy | 1865 Coles Blvd, Portsmouth, OH 45662-2643 | 2014-04-02 |
| 1801230263 | Ashland Hospital Corporation | Pharmacy | 1901 Argonne Road, Portsmouth, OH 45662 | 2013-04-29 |
| 1790055945 | Walgreens | Pharmacy | 700 Frederick Blvd, Portsmouth, VA 23707-3314 | 2012-01-05 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 45662 |
Please comment or provide details below to improve the information on SOUTHERN OHIO MEDICAL CENTER.
| 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.