CHAMPION MEDICINE SHOPPE
NPI 1720316029
Pharmacy in Warren, OH

Active since November 24, 2009
4619 MAHONING AVE., WARREN, OH 44483(330) 847-8000(330) 847-7708 Get Directions Write a Review

NPPES record last updated: June 26, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Champion Medicine Shoppe NPPES

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

CHAMPION MEDICINE SHOPPE (NPI 1720316029) is a healthcare organization registered as a pharmacy in Warren, Ohio and active in the NPI registry since November 2009. The organization lists Ashley Renee Dudley, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1720316029
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameBELLEVUE MEDICINE SHOPPE
Location Address4619 MAHONING AVE.Warren, OH 44483
Mailing Address4619 Mahoning Ave.Warren, OH 44483 · (330) 847-8000 · Fax (330) 847-7708
Fax(330) 847-7708
Organization SubpartNo
Authorized OfficialAshley Renee DudleyPharmacy Manager · (330) 847-8000
Enumeration DateNovember 24, 2009
Last NPPES UpdateJune 26, 2015
NPI 1720316029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in OH · 022001250
Definition

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.

4619 MAHONING AVE., Warren, OH 44483

Other Names 1

Doing Business AsChampion Medicine Shoppe

Other Identifiers 1

Medicare NSC6395340001

Other Providers at the Same Location NPPES

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

Pharmacy (Community/Retail Pharmacy)
4619 MAHONING AVE.
WARREN, OH 44483

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 Bellevue Medicine Shoppe's NPI number?

The NPI number for Bellevue Medicine Shoppe is 1720316029. It was assigned to this organization in the NPPES registry on November 24, 2009. The provider is doing business as Champion Medicine Shoppe.

Where is Bellevue Medicine Shoppe located?

Bellevue Medicine Shoppe is located at 4619 Mahoning Ave., Warren, OH 44483. The listed phone number is (330) 847-8000.

What is Bellevue Medicine Shoppe's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Bellevue Medicine Shoppe was last updated on June 26, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.