Provider Demographics
NPI:1639663123
Name:REACHCARE PHARMACY SERVICES LLC
Entity Type:Organization
Organization Name:REACHCARE PHARMACY SERVICES LLC
Other - Org Name:REACHCARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDURAHMAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:614-937-2006
Mailing Address - Street 1:779 WESTBURY DR
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-1568
Mailing Address - Country:US
Mailing Address - Phone:614-525-0031
Mailing Address - Fax:
Practice Address - Street 1:421 GEORGESVILLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-2420
Practice Address - Country:US
Practice Address - Phone:614-525-0031
Practice Address - Fax:614-525-0425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-18
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
OH02320000043336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0232000004OtherSTATE PHARMACY LICENSE