CHAMPION MEDICINE SHOPPE – NPI #1720316029
Pharmacy

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.

CHAMPION MEDICINE SHOPPE is a pharmacy located in WARREN, OH. NPPES has assigned the NPI number 1720316029 to CHAMPION MEDICINE SHOPPE on November 24, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CHAMPION MEDICINE SHOPPE” is a dba name, the actual legal business name for this organization is BELLEVUE MEDICINE SHOPPE. The primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy.

The NPI profile was previously updated about 11 years ago on Jun 26, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHAMPION MEDICINE SHOPPE below.

NPI Profile for
BELLEVUE MEDICINE SHOPPE

NPI Number
1720316029
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BELLEVUE MEDICINE SHOPPE
Doing Business As (dba): CHAMPION MEDICINE SHOPPE
Primary location
4619 MAHONING AVE.
WARREN, OH 44483
Phone: (330) 847-8000 Fax: (330) 847-7708
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ASHLEY DUDLEY
PHARMACY MANAGER
Phone: (330) 847-8000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
333600000X
- Pharmacy (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.