Provider Demographics
NPI:1639316243
Name:MYS LLC
Entity Type:Organization
Organization Name:MYS LLC
Other - Org Name:HEALINGSPRINGS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:KARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROLFES
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:513-863-8000
Mailing Address - Street 1:2449 ROSS MILLVILLE RD
Mailing Address - Street 2:STE 185
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-8951
Mailing Address - Country:US
Mailing Address - Phone:513-863-8000
Mailing Address - Fax:513-863-8001
Practice Address - Street 1:2449 ROSS MILLVILLE RD
Practice Address - Street 2:STE 185
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-8951
Practice Address - Country:US
Practice Address - Phone:513-863-8000
Practice Address - Fax:513-863-8001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-20
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYOH2024333600000X
IN64001787A3336C0003X
OH0218777503336C0004X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2118499OtherPK
IN200929330AMedicaid
OH2923519Medicaid
OH2923519Medicaid