MEDICINE SHOPPE 1088
NPI 1083607923
Pharmacy - Community/Retail Pharmacy in Bucyrus, OH

Active since August 25, 2005CLIA 36D2183438 · Waiver
345 N SANDUSKY AVE, BUCYRUS, OH 44820(419) 562-4222(419) 562-4516 Get Directions Write a Review

NPPES record last updated: March 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medicine Shoppe 1088 NPPES

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

MEDICINE SHOPPE 1088 (NPI 1083607923) is a healthcare organization registered as a community/retail pharmacy in Bucyrus, Ohio and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through May 4, 2028 and lists Tamer Ibrahim, President, as its authorized official.

NPPES Registry Identity

NPI1083607923
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMEDICINE SHOPPE 1088 LLC
Location Address345 N SANDUSKY AVEBucyrus, OH 44820-1806
Mailing Address345 N Sandusky AveBucyrus, OH 44820-1806 · (419) 562-4222 · Fax (419) 562-4516
Fax(419) 562-4516
Organization SubpartNo
Authorized OfficialTamer IbrahimPresident · (330) 412-7442
Enumeration DateAugust 25, 2005
Last NPPES UpdateMarch 13, 2020
NPPES CertifiedMarch 13, 2020
NPI 1083607923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
Also ListedPharmacyTaxonomy 333600000X · License 02-735050 (OH)
345 N SANDUSKY AVE, Bucyrus, OH 44820

Other Names 1

Doing Business AsMedicine Shoppe 1088

Other Identifiers 1

Other3654298OH · Ncpdp #

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 36D2183438

Medicine Shoppe 1088, LLC · Bucyrus, OH
Active · expires May 4, 2028
CLIA Number36D2183438
Laboratory TypePharmacy
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorMr. Tamer F. Ibrahim
Laboratory Phone(419) 562-4222
Laboratory LocationMedicine Shoppe 1088, LLC345 N Sandusky Ave, Bucyrus, OH 44820
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
34 services34 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
32 services32 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Medicine Shoppe 1088 LLC carries, from the Medicare DMEPOS supplier directory.

Medicine Shoppe 1088 LLC

DMEPOS supplier · Bucyrus, OH

Accepts Medicare assignment

Medicine Shoppe 1088 LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20414615
Medicare Participant SinceApril 9, 2020
Supplier Location345 N Sandusky AveBucyrus, OH 44820
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

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

Pharmacy (Long Term Care Pharmacy)
345 N SANDUSKY AVE
BUCYRUS, OH 44820
Pharmacist
345 N SANDUSKY AVE
BUCYRUS, OH 44820
Pharmacist
345 N SANDUSKY AVE
BUCYRUS, OH 44820
Pharmacist
345 N SANDUSKY AVE
BUCYRUS, OH 44820

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 Medicine Shoppe 1088 LLC's NPI number?

The NPI number for Medicine Shoppe 1088 LLC is 1083607923. It was assigned to this organization in the NPPES registry on August 25, 2005. The provider is doing business as Medicine Shoppe 1088.

Where is Medicine Shoppe 1088 LLC located?

Medicine Shoppe 1088 LLC is located at 345 N Sandusky Ave, Bucyrus, OH 44820. The listed phone number is (419) 562-4222.

What is Medicine Shoppe 1088 LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Medicine Shoppe 1088 LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Medicine Shoppe 1088 LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Medicine Shoppe 1088 LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2183438) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medicine Shoppe 1088 LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Medicine Shoppe 1088 LLC 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 Medicine Shoppe 1088 LLC was last updated on March 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.