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PEMBERVILLE DRUG STORE LLC
NPI 1184907115
Pharmacy - Long Term Care Pharmacy in Pemberville, OH

Active since September 26, 2011
139 E FRONT ST # 897, PEMBERVILLE, OH 43450(419) 287-3238(419) 287-2008 Get Directions Write a Review

NPPES record last updated: September 26, 2011. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Pemberville Drug Store Llc NPPES

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

PEMBERVILLE DRUG STORE LLC (NPI 1184907115) is a healthcare organization registered as a long term care pharmacy in Pemberville, Ohio and active in the NPI registry since September 2011. The organization lists Joseph Lee Baumgartner, Owner, as its authorized official.

NPPES Registry Identity

NPI1184907115
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NamePEMBERVILLE DRUG STORE LLC
Location Address139 E FRONT ST # 897Pemberville, OH 43450-7032
Mailing Address139 E Front St # 897Pemberville, OH 43450-7032 · (419) 287-3238 · Fax (419) 287-2008
Phone(419) 287-3238
Fax(419) 287-2008
Organization SubpartNo
Authorized OfficialJoseph Lee BaumgartnerOwner · (419) 287-3238
Enumeration DateSeptember 26, 2011
✔ NPI 1184907115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in OH · 022122100
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
139 E FRONT ST # 897, Pemberville, OH 43450
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Other Identifiers 2

Medicare NSC5000900001OH
Medicaid2010620OH

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 Pemberville Drug Store LLC's NPI number?

The NPI number for Pemberville Drug Store LLC is 1184907115. It was assigned to this organization in the NPPES registry on September 26, 2011.

Where is Pemberville Drug Store LLC located?

Pemberville Drug Store LLC is located at 139 E Front St # 897, Pemberville, OH 43450. The listed phone number is (419) 287-3238.

What is Pemberville Drug Store LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Pemberville Drug Store LLC was last updated on September 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.