MERCY HEALTH PERRYSBURG OUTPATIENT PHARMACY
NPI 1194495150
Pharmacy in Perrysburg, OH

NPI Status: Active since September 20, 2021

Contact Information

12623 ECKEL JUNCTION RD
PERRYSBURG, OH
ZIP 43551
Phone: (567) 368-1434

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Pharmacy
Accepts Insurance

About MERCY HEALTH PERRYSBURG OUTPATIENT PHARMACY

This page provides the complete NPI Profile along with additional information for Mercy Health Perrysburg Outpatient Pharmacy, a provider established in Perrysburg, Ohio operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1194495150 assigned on September 2021. The practitioner's primary taxonomy code is 333600000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Mercy Health Perrysburg Outpatient Pharmacy. The authorized official of this NPI record is Kimberly M Ralston (System Director Payor Admin)

NPI: 1194495150
Provider Legal Name: MERCY HEALTH - ST ANNE HOSPITAL LLC
Other Organization Name: MERCY HEALTH PERRYSBURG OUTPATIENT PHARMACY
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 12623 ECKEL JUNCTION RD PERRYSBURG, OH 43551
Location Phone: (567) 368-1434
Mailing Address: PO BOX 639922 CINCINNATI, OH 45263
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 09-20-2021
Last Update Date: 01-13-2022
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pharmacy
Taxonomy Code: 333600000X
Type: Suppliers
Taxonomy Description: 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization
1	3336C0002X	Suppliers	Pharmacy Clinic Pharmacy
2	3336C0003X	Suppliers	Pharmacy Community/Retail Pharmacy
3	3336S0011X	Suppliers	Pharmacy Specialty Pharmacy

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Aetna CVS Health

Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: KIMBERLY M RALSTON
Authorized Official Title: SYSTEM DIRECTOR PAYOR ADMIN
Authorized Official Phone: (419) 996-5119

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	1	9	4	4	9	5	1	5	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	18	4	8	9	10	1	10
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 8 + 9 + 1 + 0 + 1 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1194495150 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.