Provider Demographics
NPI:1386667640
Name:KARANT PHARMACY SERVICES, INC.
Entity Type:Organization
Organization Name:KARANT PHARMACY SERVICES, INC.
Other - Org Name:MEDICINE SHOPPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PHARMACIST OF RECORD
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:GRANT
Authorized Official - Last Name:KARANT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:330-825-7676
Mailing Address - Street 1:3300 GREENWICH RD
Mailing Address - Street 2:SUITE 14
Mailing Address - City:NORTON
Mailing Address - State:OH
Mailing Address - Zip Code:44203-5714
Mailing Address - Country:US
Mailing Address - Phone:330-825-7676
Mailing Address - Fax:330-825-3656
Practice Address - Street 1:3300 GREENWICH RD
Practice Address - Street 2:SUITE 14
Practice Address - City:NORTON
Practice Address - State:OH
Practice Address - Zip Code:44203-5714
Practice Address - Country:US
Practice Address - Phone:330-825-7676
Practice Address - Fax:330-825-3656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02-09636003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3653727OtherNCPDP NUMBER
OH0460479Medicaid
OH0460479Medicaid
OH3653727OtherNCPDP NUMBER
OH0460479Medicaid
OHBK5109930OtherDEA NUMBER