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Export Provider Record NPI 1366816043
Southern Ohio Medical Center
Organization Subpart: NO
Active
NPI Number1366816043
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1366816043
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2015-11-18
Last Updated2017-03-31
Authorized OfficialRory Phillips
Director of Pharmacy/Respiratory Se
Phone: 7405748933
Mailing Address1805 27th St
Portsmouth, OH 45662-2640
United States
Phone: (740) 356-8193
📍 View Map
Primary Practice Address8770 Ohio River Rd
Wheelersburg, OH 45694-1918
United States
Phone: (740) 574-8933 | Fax: (740) 356-7898
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)-2155191PK
MEDICAIDOH0153224-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No333600000X – Pharmacy--
Yes3336C0003X – Pharmacy, Community/Retail PharmacyOHPMY.022572900-03
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About NPI 1366816043

Southern Ohio Medical Center is an organization registered in the CMS NPPES NPI Registry with NPI number 1366816043. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Wheelersburg, OH. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2015-11-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1366816043?

NPI 1366816043 belongs to Southern Ohio Medical Center, a Pharmacy, Community/Retail Pharmacy in Wheelersburg, OH. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1366816043 active?

The current status of NPI 1366816043 in the NPPES registry is Active. The record was last updated on 2017-03-31.

What specialty is NPI 1366816043?

NPI 1366816043 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1366816043?

You can verify NPI 1366816043 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1366816043?

The primary practice address on file for NPI 1366816043 is 8770 Ohio River Rd, Wheelersburg, OH 45694-1918. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1366816043 issued?

NPI 1366816043 was first issued (enumerated) on 2015-11-18. The NPPES record was last updated on 2017-03-31.

Practice Location Map

Southern Ohio Medical Center is located at 8770 Ohio River Rd, Wheelersburg, OH. Use the map below to find directions or verify the practice location.

📍 8770 Ohio River Rd, Wheelersburg, OH 45694-1918  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Southern Ohio Medical Center. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1366816043. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail PharmacyPMY.022572900-03OH
Data Verified from CMS NPPES Last synced: 2026-08-18 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162