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MEDISERV DUXBERRY PHCY INC
NPI 1104904614
Pharmacy - Clinic Pharmacy in Columbus, OH

Active since November 01, 2006
2052 CLEVELAND AVE, COLUMBUS, OH 43211(614) 294-0426(614) 481-4272 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Mediserv Duxberry Phcy Inc NPPES

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

MEDISERV DUXBERRY PHCY INC (NPI 1104904614), doing business as Mediserv Duxberry Pharmacy, is a healthcare organization registered as a clinic pharmacy in Columbus, Ohio and active in the NPI registry since November 2006. The organization lists Tracy Hammond, Third Party Admin, as its authorized official.

NPPES Registry Identity

NPI1104904614
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameMEDISERV DUXBERRY PHCY INC
Location Address2052 CLEVELAND AVEColumbus, OH 43211-2216
Mailing Address2052 Cleveland AveColumbus, OH 43211-2216
Phone(614) 294-0426
Fax(614) 481-4272
Organization SubpartNo
Authorized OfficialTracy HammondThird Party Admin · (614) 481-4272
Enumeration DateNovember 1, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1104904614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
2052 CLEVELAND AVE, Columbus, OH 43211
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Other Names 1

Doing Business AsMediserv Duxberry Pharmacy

Other Identifiers 2

Medicaid2051872OH
Other3665001Other Id Number-commercial Number

Other Providers at the Same Location NPPES

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

MAPLEWOOD MEDICAL CENTER, INC
Family Medicine
2052 CLEVELAND AVE
COLUMBUS, OH 43211
Franklin County (614) 294-6238

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 Mediserv Duxberry Phcy Inc's NPI number?

The NPI number for Mediserv Duxberry Phcy Inc is 1104904614. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as Mediserv Duxberry Pharmacy.

Where is Mediserv Duxberry Phcy Inc located?

Mediserv Duxberry Phcy Inc is located at 2052 Cleveland Ave, Columbus, OH 43211. The listed phone number is (614) 294-0426.

What is Mediserv Duxberry Phcy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

When was this NPI record last updated?

The NPPES record for Mediserv Duxberry Phcy Inc was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.