SOUTHERN OHIO MEDICAL CENTER (NPI# 1386059228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386059228 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OHIO MEDICAL CENTER |
| Other Organization Name | SOMC PHARMACY WEST UNION |
| Practice Address |
90 Cic Blvd West Union OH 45693-8024 |
| Practice Telephone | 9375448989 |
| Practice Fax Number | 9375445839 |
| Mailing Telephone | 9375448989 |
| Mailing Fax Number | 9375445839 |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2017-03-08 |
| Authorized Official Name | RORY PHILLIPS (ADMIN DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 7403568193 |
| 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 |
RTP02242430003 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2146607 | 01 | |
| OH | 0108488 | 05 |
| Other Name | Type Code |
|---|---|
| SOMC PHARMACY WEST UNION | 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 |
| 1316341373 | Southern Ohio Medical Center | Pharmacy | 1805 27th St, Portsmouth, OH 45662-2640 | 2014-10-20 |
| 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 |
90 CIC BLVD |
| City | WEST UNION |
| State | OH |
| Zip Code | 45693-8024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821043449 | Angela M Shupert | Family Medicine | 90 Cic Blvd, West Union, OH 45693-8024 | 2006-05-23 |
| 1629535190 | Natosha Leigh Staggs | Nurse Practitioner | 90 Cic Blvd, West Union, OH 45693-8024 | 2019-02-21 |
| 1871002030 | Andrew Edwin Shaheen | Nurse Practitioner | 90 Cic Blvd, West Union, OH 45693-8024 | 2017-09-20 |
| 1326568528 | Sarica Lillie | Nurse Practitioner | 90 Cic Blvd, West Union, OH 45693-8024 | 2017-06-20 |
| 1447611652 | Tara R. Applegate | Nurse Practitioner | 90 Cic Blvd, West Union, OH 45693-8024 | 2016-03-15 |
| 1063842490 | Cadee Schumacher | Nurse Practitioner | 90 Cic Blvd, West Union, OH 45693-8024 | 2013-11-21 |
| 1992021158 | Adam P Zeigler | Specialist | 90 Cic Blvd, West Union, OH 45693-8024 | 2010-04-13 |
| 1467655647 | Justin Stuart Greenlee | Family Medicine | 90 Cic Blvd, West Union, OH 45693-8024 | 2007-06-06 |
| 1154491249 | Robert Eugene Newman | Family Medicine | 90 Cic Blvd, West Union, OH 45693-8024 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557364 | Todd Cooper | Pharmacist | 11217 Sr 41 S, West Union, OH 45693 | 2020-10-29 |
| 1700395183 | Hilarie Byrd | Case Manager/Care Coordinator | 1920 Chestnut Ridge Rd, West Union, OH 45693 | 2017-09-28 |
| 1902323520 | Ruth Ann Copas | Occupational Therapy Assistant | 141 Spruce Lane, Eagle Creek Nursing Center, West Union, OH 45693 | 2017-08-24 |
| 1083020044 | Benjamin Mcdonald | Dentist | 7750 Ohio 125, West Union, OH 45693 | 2014-07-10 |
| 1043546484 | William Joseph Brammer | Pharmacist | 10415 State Route 41, West Union, OH 45693 | 2009-10-20 |
| 1316187834 | Adams County Auditor | Ambulance | 215 Sparks Street, West Union, OH 45693 | 2009-02-24 |
| 1700093416 | Adams Brown Counties Economic Oppt Inc | Clinic/Center | 9137 St. Rt. 136, West Union, OH 45693 | 2007-05-16 |
| 1316072176 | Brenda Kay Ables | Adult Companion | 434 Bloom Drive, West Union, OH 45693 | 2007-02-22 |
| 1982765954 | Brenda Sue Mckee | Home Health Aide | 137 Riffle Rd, West Union, OH 45693 | 2006-12-13 |
| 1578635272 | Hugh W Pettigrew | Psychiatry & Neurology | 192 Chestnut Ridge Rd, West Union, OH 45693 | 2006-11-15 |
| Find all providers in zip 45693 | ||||
| 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 |
|---|---|---|---|---|
| 1992915482 | Palmer Outpatient Pharmacy | Pharmacy | 112 Jefferson St, West Union, IA 52175-1022 | 2007-05-23 |
| 1962593657 | Robert A Blake | Pharmacy | 206 N Market St, West Union, OH 45693-1307 | 2006-09-27 |
| 1740295690 | Ingles Markets Inc | Pharmacy | 180 Scenic Hwy, West Union, SC 29696 | 2006-07-29 |
| 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 | WEST UNION |
| Zip Code | 45693 |
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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.