PROHEALTH DRUGS LLC (NPI# 1417496621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417496621 |
| Entity Type | Organization |
| Organization Name | PROHEALTH DRUGS LLC |
| Other Organization Name | MED MART PHARMACY |
| Practice Address |
5045 Crookshank Rd Ste 100 Cincinnati OH 45238-3301 |
| Mailing Address |
Po Box 786 Dayton OH 45401-0786 |
| Practice Telephone | 5134295424 |
| Practice Fax Number | 5134293526 |
| Mailing Telephone | 5134295424 |
| Mailing Fax Number | 5134293526 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-03-23 |
| Authorized Official Name | MAHMOUD RIFAI (OWNER, PHARMACIST) |
| Authorized Official Telephone | 9373890000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 02266485003 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2167806 | 01 |
| Other Name | Type Code |
|---|---|
| Med Mart Pharmacy | Doing Business As Name - Organization |
| Street Address |
5045 CROOKSHANK RD STE 100 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45238-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860588 | Corey Allison | Case Manager/Care Coordinator | 312 Glenmore Ave. Ste 14, Cincinnati, OH 45238 | 2020-10-29 |
| 1366077174 | Lawanda Antoinette Price | Counselor | 5122 Glenway Crossing Way, Cincinnati, OH 45238 | 2020-03-12 |
| 1639715808 | Bullock Dialysis LLC | Clinic/Center | 2290 Ferguson Rd, Cincinnati, OH 45238 | 2019-11-22 |
| 1629547021 | Abigail M Rebholz | Speech-Language Pathologist | 2039 Anderson Ferry Rd, Cincinnati, OH 45238 | 2018-11-15 |
| 1942667548 | Lashawnda C Gaston | Military Health Care Provider | 1322 Le Mar Dr, Cincinnati, OH 45238 | 2016-01-27 |
| 1134598402 | Abbie Crookham | Registered Nurse | 2146 Ferguson Rd., Cincinnati, OH 45238 | 2015-09-17 |
| 1518341346 | Kenyatta Shena Mccrary | Home Health Aide | 831 Greenwich Ave, Cincinnati, OH 45238 | 2015-07-10 |
| 1225431893 | Brooke Whalen | Dental Assistant | 2146 Ferguson Road, Cincinnati, OH 45238 | 2014-09-26 |
| 1669885588 | Moussa Demba | Medicare Defined Swing Bed Unit | 2484 Queen City Ave Apt 7, Cincinnati, OH 45238 | 2014-06-09 |
| 1811335961 | Kelly G Mirus | Specialist/Technologist | 5161 Ralph Ave, Cincinnati, OH 45238 | 2013-06-11 |
| Find all providers in zip 45238 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477112308 | City of Cincinnati | Pharmacy | 3559 Reading Road, Suite 101, Cincinnati, OH 45229 | 2019-06-13 |
| 1457858201 | Bethesda Hospital Inc | Pharmacy | 4623 Wesley Ave Ste N, Cincinnati, OH 45212-2272 | 2018-04-09 |
| 1386152783 | Tri State Urologic Services Psc, Inc | Pharmacy | 2000 Joseph E Sanker Blvd Ste 210, Suite 210, Cincinnati, OH 45212-1979 | 2018-01-19 |
| 1699803353 | Hughes Pharmacy Inc | Pharmacy | 210 E Sharon Rd, Cincinnati, OH 45246-4529 | 2007-03-02 |
| 1598802068 | Roselawn Pharmacy Inc | Pharmacy | 7601 Reading Rd, Cincinnati, OH 45237-3203 | 2007-01-31 |
| 1801932413 | Adrien Industries Inc | Pharmacy | 7023 Miami Ave, Cincinnati, OH 45243-2636 | 2007-01-30 |
| 1598849622 | William E Keuper | Pharmacy | 1829 W Galbraith Rd, Cincinnati, OH 45239-4848 | 2006-10-25 |
| 1952411589 | Costco Wholesale Corporation | Pharmacy | 9691 Waterstone Blvd, Cincinnati, OH 45249 | 2006-08-30 |
| 1275646499 | Tri-state Compounding Pharmacy LLC | Pharmacy | 7715 Beechmont Ave, Cincinnati, OH 45255-4203 | 2006-08-15 |
| 1043225048 | Walgreen Co | Pharmacy | 3500 Reading Rd, Cincinnati, OH 45229-2604 | 2006-07-29 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45238 |
Please comment or provide details below to improve the information on PROHEALTH DRUGS 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.