Provider Demographics
NPI:1518123918
Name:CPP MEDICATION MANAGEMENT LLC
Entity Type:Organization
Organization Name:CPP MEDICATION MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:KALOGERAS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:614-294-1600
Mailing Address - Street 1:999 GOODALE BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-3826
Mailing Address - Country:US
Mailing Address - Phone:614-294-1600
Mailing Address - Fax:614-294-1661
Practice Address - Street 1:1020 HIGH ST STE B
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-4014
Practice Address - Country:US
Practice Address - Phone:614-294-1653
Practice Address - Fax:614-294-1654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-05
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.021878250 023336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy