National Provider Identifier Database

MEDISERV DUXBERRY PHCY INC
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

MEDISERV DUXBERRY PHCY INC
2052 CLEVELAND AVE
COLUMBUS, OH43211-2216
Phone: 614-294-0426
Fax: 614-481-4272
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X

* Indicates primary specialty

NPI Profile & details for MEDISERV DUXBERRY PHCY INC

NPI Number 1104904614
Legal business name
LBN
MEDISERV DUXBERRY PHCY INC
Authorized official TRACY HAMMOND - (THIRD PARTY ADMIN)
Entity Organization
Organization subpart No
Enumeration date 11/01/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • OH Medicaid: 2051872
  • Other: 3665001 OTHER ID NUMBER-COMMERCIAL NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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