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NEOVATIONS PHARMACY SERVICES LLC NPI 1740989755


NPI Information

NPI: 1740989755
Provider Name: NEOVATIONS PHARMACY SERVICES, LLC

Former Legal Business Name: PHARMACY INNOVATIONS, LLC

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

CLIA Number: 36D2256804

Address:
4211 STATE ROUTE 44 STE 207-208
ROOTSTOWN, OH
ZIP 44272
Phone: (330) 325-6157
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NEOVATIONS PHARMACY SERVICES, LLC is a clinic pharmacy pharmacy in Rootstown, OH. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. NEOVATIONS PHARMACY SERVICES, LLC NPI is 1740989755. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Pharmacy Innovations, Llc.

The provider's business location address is:

4211 STATE ROUTE 44 STE 207-208
ROOTSTOWN, OH
ZIP 44272-733
Phone: (330) 325-6157

The provider's authorized official is Kunal Amin .
The authorized official title is Vp Of Operations and has the following contact phone number (440) 382-2820.

The CLIA number assigned to this NPI record is 36D2256804 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2023 and was last updated on 5/24/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0002XPharmacyClinic PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11396261079MEDICAIDOHIO
21740576255MEDICAIDOHIO
31659556744MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.