MEMORIAL HOSPITAL PHARMACY
NPI 1306960513
Pharmacy - Institutional Pharmacy in Fremont, OH
NPI Status: Active since March 16, 2007
Contact Information
715 S TAFT AVE
FREMONT, OH
ZIP 43420
Phone: (419) 334-6618
Fax: (419) 334-6678
- Organization
- Pharmacy
- Institutional Pharmacy
- Accepts Insurance
About MEMORIAL HOSPITAL PHARMACY
This page provides the complete NPI Profile along with additional information for Memorial Hospital Pharmacy, a provider established in Fremont, Ohio operating as a Pharmacy, focusing in institutional pharmacy . The healthcare provider is registered in the NPI registry with number 1306960513 assigned on March 2007. The practitioner's primary taxonomy code is 3336I0012X with license number HOS.020030100-03 (OH). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Memorial Hospital Pharmacy. The authorized official of this NPI record is Randal Koch Rph (Pharmacy Director)
- NPI
- 1306960513
- Provider Legal Name
- MEMORIAL HOSPITAL
- Other Organization Name
- MEMORIAL HOSPITAL PHARMACY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 715 S TAFT AVE FREMONT, OH 43420
- Location Phone
- (419) 334-6618
- Location Fax
- (419) 334-6678
- Mailing Address
- 715 S TAFT AVE FREMONT, OH 43420
- Mailing Phone
- (419) 334-6618
- Mailing Fax
- (419) 334-6678
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-16-2007
- Last Update Date
- 04-19-2016
- Code Navigator
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 Institutional Pharmacy
- Taxonomy Code
- 3336I0012X
- Type
- Suppliers
- License No.
- HOS.020030100-03
- License State
- OH
- Taxonomy Description
- A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care - EPO
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - EPO
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- 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 - EPO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
- Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- 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 Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- 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 - EPO
- Avera $1800 - PPO
- Avera $2000 - PPO
- Avera $4000 - PPO
- Avera $4500 - PPO
- Avera $6000 - PPO
- Avera $7500 HSA Eligible HDHP - PPO
- Avera $9200 - PPO
- Avera Standard $1500 - PPO
- Avera Standard $5000 - PPO
- Avera Standard $7500 - PPO
- BlueCross B07E HSA - EPO
- BlueCross B07S HSA - EPO
- BlueCross B15E $0 virtual care from Teladoc Health � - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross G06E $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
- Balance by Medica Bronze $0 Copay PCP Visits - EPO
- Balance by Medica Bronze $0 Copay PCP Visits - PPO
- Balance by Medica Bronze Premier - EPO
- Balance by Medica Bronze Premier - PPO
- Balance by Medica Catastrophic - EPO
- Balance by Medica Catastrophic - PPO
- Balance by Medica Expanded Bronze Standard - EPO
- Balance by Medica Expanded Bronze Standard - PPO
- Balance by Medica Gold $0 Copay PCP Visits - EPO
- Balance by Medica Gold $0 Copay PCP Visits - PPO
- Balance by Medica Gold Share - EPO
- Balance by Medica Gold Share - PPO
- Balance by Medica Gold Standard - EPO
- Balance by Medica Gold Standard - PPO
- Balance by Medica Silver $0 Copay PCP Visits - EPO
- Balance by Medica Silver $0 Copay PCP Visits - PPO
- Balance by Medica Silver Share - EPO
- Balance by Medica Silver Share - PPO
- Balance by Medica Silver Standard - EPO
- Balance by Medica Silver Standard - PPO
- Bronze 10 - HMO
- Bronze 8 - HMO
- Bronze 9 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver (Select) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic (Select) - HMO
- Gold Classic Standard (Select) - HMO
- Gold Elite Saver Plus (Select) - HMO
- Secure (Select) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus (Select) - HMO
- Silver Simple Chronic Care CKM (Select) - HMO
- Silver Simple PCP Saver (Select) - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic 4700 | with Atrium Health - HMO
- Bronze Classic Standard - HMO
- Bronze Classic Standard | with Atrium Health - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Bronze Elite + PCP Saver Plus | with Atrium Health - HMO
- Gold Classic Standard - HMO
- Gold Classic Standard | with Atrium Health - HMO
- Gold Elite Saver Plus - HMO
- Gold Elite Saver Plus | with Atrium Health - HMO
- Secure - HMO
- Secure | with Atrium Health - HMO
- Silver Classic - HMO
- Silver Classic | with Atrium Health - HMO
- Silver Classic Standard - HMO
- Silver Classic Standard | with Atrium Health - HMO
- Silver Simple Diabetes - HMO
- Silver Simple Diabetes | with Atrium Health - HMO
- Silver Simple PCP Saver - HMO
- Silver Simple PCP Saver | with Atrium Health - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
- Bronze Classic Standard - HMO
- Bronze Classic Standard (Choice) - HMO
- Bronze Classic Standard (Select) - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Gold Classic - HMO
- Gold Classic Standard - HMO
- Gold Classic Standard (Choice) - HMO
- Gold Classic Standard (Select) - HMO
- Secure - HMO
- Secure (Choice) - HMO
- Silver Classic Standard - HMO
- Silver Classic Standard (Choice) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus - HMO
- Silver Elite Saver Plus Rx Copay (Select) - HMO
- Silver Simple Chronic Care CKM - HMO
- Silver Simple Diabetes (Choice) - HMO
- Bronze Classic - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic 4700 - PPO
- Bronze Classic 4700 | MercyOne - EPO
- Bronze Classic Standard - EPO
- Bronze Classic Standard - PPO
- Bronze Classic Standard | MercyOne - EPO
- Bronze Elite + PCP Saver - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Elite + PCP Saver Plus - PPO
- Bronze Elite + PCP Saver Plus | MercyOne - EPO
- Gold Classic - EPO
- Gold Classic Standard - EPO
- Gold Classic Standard - PPO
- Gold Classic Standard | MercyOne - EPO
- Gold Elite - EPO
- Gold Elite | MercyOne - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Secure - PPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic Standard - EPO
- Silver Elite - EPO
- Silver Simple Chronic Care CKM - EPO
- Silver Simple Diabetes - EPO
- Silver Simple PCP Saver - EPO
- Bronze Classic PCP Saver - HMO
- Bronze Classic Standard - HMO
- Bronze Simple HSA - HMO
- Gold Classic Standard - HMO
- Gold Elite - HMO
- Gold Elite Saver Plus - HMO
- Secure - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
- Silver Simple Diabetes - HMO
- Silver Simple PCP Saver - HMO
- Essential Bronze 6500 - POS
- Essential Gold 1500 - POS
- Freedom Silver 4000 - POS
- Savings Bronze 7700 - POS
- Standard Bronze 7500 - POS
- Standard Gold 1500 - POS
- Standard Silver 5000 - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2075169 | OTHER (01) | PK |
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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 | 3 | 0 | 6 | 9 | 6 | 0 | 5 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 0 | 6 | 18 | 6 | 0 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 0 + 6 + 1 + 8 + 6 + 0 + 5 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1306960513 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
JAIME L FOX PA-C
Physician Assistant
(Medical)
715 S TAFT AVE
FREMONT, OH
ZIP 43420
DR. LARRY VON KUSTER MD
Pathology
(Anatomic Pathology & Clinical Pathology)
715 S TAFT AVE
FREMONT, OH
ZIP 43420
ALKA JOG, M.D.
Anesthesiology
715 S TAFT AVE
FREMONT, OH
ZIP 43420
DR. SANJAY SANGAL M.D.
Anesthesiology
715 S TAFT AVE
FREMONT, OH
ZIP 43420
DR. MICHAEL L. CLARK M.D.
Anesthesiology
715 S TAFT AVE
FREMONT, OH
ZIP 43420
MS. SARA M RIDENER SLP
Speech-Language Pathologist
715 S TAFT AVE
FREMONT, OH
ZIP 43420
MS. TRICIA L MICHAEL PT
Physical Therapist
715 S TAFT AVE
FREMONT, OH
ZIP 43420
MR. FREDERICK J GARCIA PT
Physical Therapist
715 S TAFT AVE
FREMONT, OH
ZIP 43420
MS. KIMBERLY S HUTTON PT
Physical Therapist
715 S TAFT AVE
FREMONT, OH
ZIP 43420
MS. LARAINE A BAUER PT
Physical Therapist
715 S TAFT AVE
FREMONT, OH
ZIP 43420
MS. MARGARET A MATHEWS PT
Physical Therapist
715 S TAFT AVE
FREMONT, OH
ZIP 43420
MS. SHANNON M REARDON PT
Physical Therapist
715 S TAFT AVE
FREMONT, OH
ZIP 43420
MS. ERIN S SCHMIDT SLP
Speech-Language Pathologist
715 S TAFT AVE
FREMONT, OH
ZIP 43420
DR. SUZANNE GRACE AMIDON MAGRO D.O.
Emergency Medicine
715 S TAFT AVE
FREMONT, OH
ZIP 43420
MS. TONYA S HOHMAN PT
Physical Therapist
715 S TAFT AVE
FREMONT, OH
ZIP 43420
MS. BONNIE J BOWLUS PT
Physical Therapist
715 S TAFT AVE
FREMONT, OH
ZIP 43420
DR. RALPH WILLIAM TACK M.D., MPH
Preventive Medicine
(Preventive Medicine/Occupational Environmental Medicine)
715 S TAFT AVE
FREMONT, OH
ZIP 43420
MRS. LESLIE D MEYER MA, LPCC, LICDC
Counselor
(Professional)
715 S TAFT AVE
FREMONT, OH
ZIP 43420
MR. TALLY WILLIAM GALLOGLY LPCC, LICDC, SAP,CEA
Counselor
(Mental Health)
715 S TAFT AVE
FREMONT, OH
ZIP 43420
JEFF VOGEL LPCC
Counselor
(Professional)
715 S TAFT AVE
FREMONT, OH
ZIP 43420
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306960513, enumerated as an "organization" on March 16, 2007.
The provider is located at 715 S TAFT AVE FREMONT, OH 43420 and the phone number is (419) 334-6618.
Pharmacy with taxonomy code 3336I0012X and a focus in Institutional Pharmacy.
The provider might be accepting Accepts: Aetna CVS Health, Avera Health Plans, BannerAetna,. Please consult your insurance carrier or call the provider to verify.
