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LICKING MEMORIAL PHARMACY
NPI 1073724522
Pharmacy - Specialty Pharmacy in Newark, OH

Active since May 25, 2007CLIA Certified · 2 labs
1320 W MAIN ST, NEWARK, OH 43055(220) 564-4545(220) 564-4546 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 1, 2023, Mar 20, 2017 (2 updates tracked since 2017).

About Licking Memorial Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LICKING MEMORIAL PHARMACY (NPI 1073724522) is a healthcare organization registered as a specialty pharmacy in Newark, Ohio and active in the NPI registry since May 2007. The organization holds 2 active CLIA laboratory certificates and lists Robert A. Montagnese, Ceo President, as its authorized official.

NPPES Registry Identity

NPI1073724522
Entity TypeOrganization
Primary Taxonomy3336S0011X
Legal Business NameLICKING MEMORIAL HEALTH SYSTEMS
Location Address1320 W MAIN STNewark, OH 43055-1822
Mailing Address1320 W Main StNewark, OH 43055-1822 · (220) 564-4545 · Fax (220) 564-4546
Phone(220) 564-4545
Fax(220) 564-4546
Organization SubpartNo
Authorized OfficialRobert A. MontagneseCeo President · (740) 348-4000
Enumeration DateMay 25, 2007
Last NPPES UpdateNovember 1, 20232 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
✔ NPI 1073724522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Specialty PharmacySuppliers
Taxonomy Code3336S0011X
License✔ Licensed in OH · 02-1095050
Definition

A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.

1320 W MAIN ST, Newark, OH 43055
Open in Google Maps ↗

Other Names 1

Other NameLicking Memorial Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, AvMed and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2044090

Licking Memorial Health Systems Urgent Care · Newark, OH
Active · expires Jul 16, 2028
CLIA Number36D2044090
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJuly 17, 2026
Certificate Expiration DateJuly 16, 2028
Laboratory DirectorKevin Finley
Laboratory Phone(740) 348-4000
Laboratory LocationLicking Memorial Health Systems Urgent Care14 Westgate Drive, Newark, OH 43055
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2123214

Licking Memorial Health Systems Urgent Care · Newark, OH
Active · expires Dec 14, 2026
CLIA Number36D2123214
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateDecember 15, 2024
Certificate Expiration DateDecember 14, 2026
Laboratory DirectorKevin J. Finley
Laboratory Phone(220) 564-7700
Laboratory LocationLicking Memorial Health Systems Urgent Care20 West Locust Street, Newark, OH 43055
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW CRAIG BROMLEY D.O.
Emergency Medicine
1320 W MAIN ST
NEWARK, OH 43055
Licking County (220) 564-4151
DR. PAUL GASTON DEL VALLE M.D.
Anesthesiology
1320 W MAIN ST
NEWARK, OH 43055
Licking County (740) 348-4318
DR. THOM WOOD
Emergency Medicine
1320 W MAIN ST
NEWARK, OH 43055
Licking County (740) 348-4144
JANINE C. SHIPLEY R.PH
Pharmacist
1320 W MAIN ST
NEWARK, OH 43055
Licking County (220) 564-4195
ANNA RUHL NP
Nurse Practitioner
1320 W MAIN ST
NEWARK, OH 43055
Licking County (220) 564-4151
DR. HARRISON FAITH OLEXO PHARMD, RPH
Pharmacist (Emergency Medicine)
1320 W MAIN ST
NEWARK, OH 43055
Licking County (704) 898-1620
MEGHAN ELIZABETH SCHULZE DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1320 W MAIN ST
NEWARK, OH 43055
Licking County (740) 817-0344
DR. ROBERT STEPHEN COOKE M.D.
Anesthesiology
1320 W MAIN ST
NEWARK, OH 43055
Licking County (220) 564-4201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Licking Memorial Health Systems's NPI number?

The NPI number for Licking Memorial Health Systems is 1073724522. It was assigned to this organization in the NPPES registry on May 25, 2007. The provider is also known as Licking Memorial Pharmacy.

Where is Licking Memorial Health Systems located?

Licking Memorial Health Systems is located at 1320 W Main St, Newark, OH 43055. The listed phone number is (220) 564-4545.

What is Licking Memorial Health Systems's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Specialty Pharmacy, with taxonomy code 3336S0011X.

Does Licking Memorial Health Systems hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Licking Memorial Health Systems accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, AvMed, Blue Cross Blue Shield of North Dakota and Blue Cross Blue Shield of Wyoming and 18 other insurers list Licking Memorial Health Systems as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Licking Memorial Health Systems was last updated on November 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.