SOUTHERN OHIO MEDICAL CENTER (NPI# 1366816043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366816043 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OHIO MEDICAL CENTER |
| Other Organization Name | SOMC PHARMACY WHEELERSBURG |
| Practice Address |
8770 Ohio River Rd Wheelersburg OH 45694-1918 |
| Mailing Address |
1805 27th St Portsmouth OH 45662-2640 |
| Practice Telephone | 7405748933 |
| Practice Fax Number | 7403567898 |
| Mailing Telephone | 7403568193 |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2017-03-31 |
| Authorized Official Name | RORY PHILLIPS (DIRECTOR OF PHARMACY/RESPIRATORY SE) |
| Authorized Official Telephone | 7405748933 |
| 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 |
PMY.022572900-03 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0153224 | 05 | |
| PK | 2155191 | 01 |
| Other Name | Type Code |
|---|---|
| SOMC Pharmacy Wheelersburg | 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 |
| 1316341373 | Southern Ohio Medical Center | Pharmacy | 1805 27th St, Portsmouth, OH 45662-2640 | 2014-10-20 |
| 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 |
8770 OHIO RIVER RD |
| City | WHEELERSBURG |
| State | OH |
| Zip Code | 45694-1918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598719890 | Joseph R. Leith | Orthopaedic Surgery | 8770 Ohio River Rd, Wheelersburg, OH 45694-1918 | 2006-05-20 |
| 1265932008 | Briana Otworth | Nurse Practitioner | 8770 Ohio River Rd, Wheelersburg, OH 45694 | 2018-02-19 |
| 1659826956 | Hannah Kayla Bailey | Physician Assistant | 8770 Ohio River Rd, Wheelersburg, OH 45694-1918 | 2016-08-17 |
| 1548667819 | Stultz Pharmacy of Wheelersburg Inc | Pharmacy | 8770 Ohio River Rd, Wheelersburg, OH 45694-1918 | 2014-12-02 |
| 1730584525 | Brandon Grant | Nurse Practitioner | 8770 Ohio River Rd, Wheelersburg, OH 45694-1918 | 2014-10-23 |
| 1962806208 | Kyle M. Gibson | Physician Assistant | 8770 Ohio River Rd, Wheelersburg, OH 45694-1918 | 2014-10-15 |
| 1326441916 | Cynthia Dawn Watson | Nurse Practitioner | 8770 Ohio River Rd, Wheelersburg, OH 45694-1918 | 2014-09-26 |
| 1710300942 | Julee A Stevens | Physician Assistant | 8770 Ohio River Rd, Wheelersburg, OH 45694-1918 | 2014-01-23 |
| 1932493871 | Jenifer Rose Combs | Nurse Practitioner | 8770 Ohio River Rd, Wheelersburg, OH 45694-1918 | 2011-06-08 |
| 1770898538 | Amy Lynn Huff | Nurse Practitioner | 8770 Ohio River Rd, Wheelersburg, OH 45694-1918 | 2010-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292902 | Karen Cooper | Nurse Practitioner | 730 A Kittle Road, Wheelersburg, OH 45694 | 2020-10-12 |
| 1477032746 | Elizabeth Lee Johnson | Nurse Practitioner | 11239 Gallia Pike Rd, Wheelersburg, OH 45694 | 2018-08-08 |
| 1215442389 | Wham, LLC | Community/Behavioral Health | 8073 Ohio River Road, Wheelersburg, OH 45694 | 2017-12-11 |
| 1225380306 | Krystal Wynn Knapp | Registered Nurse | 352 Bussey Road, Wheelersburg, OH 45694 | 2012-10-12 |
| 1114275948 | Seth E Harris | Licensed Practical Nurse | 164 Park St, Wheelersburg, OH 45694 | 2012-08-28 |
| 1790972008 | Assisted Living Concepts Inc | Assisted Living Facility | 900 Pirate Drive, Wheelersburg, OH 45694 | 2007-10-01 |
| 1033312376 | Lisa Gay Lancaster | Nurse's Aide | 8065 Bell St, Wheelersburg, OH 45694 | 2007-06-06 |
| 1457560773 | Sharon Kay Tilley | Home Health Aide | 10262 Gallia Pike, Wheelersburg, OH 45694 | 2007-05-22 |
| 1609080415 | Michele Renee Payton | Licensed Practical Nurse | 1200 Cole St., Wheelersburg, OH 45694 | 2007-05-10 |
| 1194879759 | Sarah Jane Riggs | Registered Nurse | 434 Miller Rd, Wheelersburg, OH 45694 | 2007-01-22 |
| Find all providers in zip 45694 | ||||
| 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 |
|---|---|---|---|---|
| 1104937705 | Terry Hall Enterprises, Inc | Pharmacy | 8036 Ohio River Rd, Wheelersburg, OH 45694-1621 | 2006-08-31 |
| 1548667819 | Stultz Pharmacy of Wheelersburg Inc | Pharmacy | 8770 Ohio River Rd, Wheelersburg, OH 45694-1918 | 2014-12-02 |
| 1770634768 | Prof Care Phcy of Wheelersburg | Pharmacy | 8730 Ohio River Rd, Wheelersburg, OH 45694-1918 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335024 | Hux Enterprises | Pharmacy | 641 Hill Rd N Ste C, Pickerington, OH 43147-9346 | 2020-10-30 |
| 1891302626 | Uc Healthcare System | Pharmacy | 222 Piedmont Ave Ste 2000, Cincinnati, OH 45219-4231 | 2020-09-25 |
| 1619580966 | Lcrg Bros LLC | Pharmacy | 7584 E Main St, Reynoldsburg, OH 43068-1208 | 2020-08-26 |
| 1528686763 | Lorain Chemists Inc | Pharmacy | 3815 Lorain Ave, Cleveland, OH 44113-3710 | 2020-07-13 |
| 1699397646 | D & G Partners LLC | Pharmacy | 7623 E Main St, Reynoldsburg, OH 43068-1209 | 2020-05-13 |
| 1992325567 | The Kroger Co | Pharmacy | 3255 Eden Ave, Suite 336, Cincinnati, OH 45229 | 2020-04-23 |
| 1689200461 | Cross Point Pharmacy | Pharmacy | 800 Cross Pointe Rd Ste P, Gahanna, OH 43230-6690 | 2020-03-12 |
| 1245870864 | Bravo Rx Pharmacy | Pharmacy | 4125 W Broad St # B, Columbus, OH 43228-1600 | 2020-01-11 |
| 1235777350 | Tan Thai Inc | Pharmacy | 4300 Clime Rd Ste 111, Columbus, OH 43228-6491 | 2019-12-19 |
| 1144868597 | Blanchard Valley Regional Health Center | Pharmacy | 930 Sheriden Dr Ste C, Carey, OH 43316-1502 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
| City | WHEELERSBURG |
| Zip Code | 45694 |
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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.