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LICKING MEMORIAL HOSPITAL
NPI 1689458762
Pharmacy - Community/Retail Pharmacy in Newark, OH

Active since August 21, 2023CLIA Certified · 2 labs
1272 WEST MAIN STREET, SUITE 401, NEWARK, OH 43055(220) 564-4544 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Licking Memorial Hospital NPPES

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

LICKING MEMORIAL HOSPITAL (NPI 1689458762), doing business as Lmh Specialty Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Newark, Ohio and active in the NPI registry since August 2023. The organization holds 2 active CLIA laboratory certificates and lists Cynthia L Webster, Vp, Financial Services, as its authorized official.

NPPES Registry Identity

NPI1689458762
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLICKING MEMORIAL HOSPITAL
Location Address1272 WEST MAIN STREET, SUITE 401Newark, OH 43055
Mailing Address1320 West Main StreetNewark, OH 43055 · (220) 564-4000
Phone(220) 564-4544
Organization SubpartYes
Authorized OfficialCynthia L WebsterVp, Financial Services · (220) 564-4518
Enumeration DateAugust 21, 2023
✔ NPI 1689458762 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 ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
1272 WEST MAIN STREET, Newark, OH 43055
Open in Google Maps ↗

Other Names 1

Doing Business AsLmh Specialty Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 36D2113307

Licking Memorial Hospital - Medication Therapy Clinic · Newark, OH
Active · expires May 18, 2028
CLIA Number36D2113307
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMay 19, 2026
Certificate Expiration DateMay 18, 2028
Laboratory DirectorDr. Ejaz Ahmad
Laboratory Phone(220) 564-4155
Laboratory LocationLicking Memorial Hospital - Medication Therapy Clinic88 Mcmillen Drive, Newark, OH 43055
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 36D2134089

Licking Memorial Hospital Dermatology Clinic West Main · Newark, OH
Active · expires Oct 29, 2027
CLIA Number36D2134089
Laboratory TypePhysician Office
Certificate Effective DateOctober 30, 2025
Certificate Expiration DateOctober 29, 2027
Laboratory DirectorThomas J. Hagele
Laboratory Phone(220) 564-7955
Laboratory LocationLicking Memorial Hospital Dermatology Clinic West Main1717 West Main Street, Suite 204, Newark, OH 43055
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

DR. MARCO MAURO DE SANTIS D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1272 WEST MAIN STREET, SUITE 204
NEWARK, OH 43055
Licking County (220) 564-1740
AHMED F. KANDEEL M.D.
Surgery
1272 WEST MAIN STREET, SUITE 302
NEWARK, OH 43055
Licking County (220) 564-1880
LICKING MEMORIAL PROFESSIONAL CORPORATION
Urology
1272 WEST MAIN STREET, BLDG 4
NEWARK, OH 43055
Licking County (740) 348-1750
LICKING MEMORIAL PROFESSIONAL CORPORATION
Psychiatry & Neurology (Neurology)
1272 WEST MAIN STREET, BLDG 2
NEWARK, OH 43055
Licking County (740) 348-7985

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 Licking Memorial Hospital's NPI number?

The NPI number for Licking Memorial Hospital is 1689458762. It was assigned to this organization in the NPPES registry on August 21, 2023. The provider is doing business as LMH Specialty Pharmacy.

Where is Licking Memorial Hospital located?

Licking Memorial Hospital is located at 1272 West Main Street Suite 401, Newark, OH 43055. The listed phone number is (220) 564-4544.

What is Licking Memorial Hospital's specialty?

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

Does Licking Memorial Hospital hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Licking Memorial Hospital 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 47 other insurers list Licking Memorial Hospital 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 Licking Memorial Hospital was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.