ProMedica Specialty Pharmacy #2 – Pharmacy, NPI 1093804783

ProMedica Specialty Pharmacy #2 is a healthcare provider. based in Toledo, Ohio. specializing in Pharmacy. The organization holds a License No. 5301011062 (MI). The NPI Number for ProMedica Specialty Pharmacy #2 is 1093804783

Main info

Organization
Name
ProMedica Specialty Pharmacy #2
NPI
1093804783
Phone
(419) 291-8530
Address
2150 W CENTRAL AVE
Authorized Official
BRYAN COEHRS DIRECTOR OF PHARMACY PHARMD
Enumeration Date
12 October 2006
Last Update Date
7 August 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness90
Years active:19State licenses:2Digital endpoints

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Provider Addresses for ProMedica Specialty Pharmacy #2

  • Center for Health Services, 2150, West Central Avenue, Toledo, Lucas County, Ohio, 43606:43615, United States

    TOLEDO, OH 436063834

    Phone: (419) 291-8530

    Fax: (419) 479-3293

    Type: Location

  • 2109 HUGHES DR STE 840

    TOLEDO, OH 436065113

    Phone: (419) 291-8530

    Fax: (419) 479-3293

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-22

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43606)

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Reviews

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Frequently asked questions

Can I cross-check ProMedica Specialty Pharmacy #2 using NPI 1093804783?
NPI 1093804783 belongs to ProMedica Specialty Pharmacy #2; compare other details if you need extra assurance.
Active or inactive — what applies to ProMedica Specialty Pharmacy #2?
You should see ProMedica Specialty Pharmacy #2 as active in CMS-hosted NPPES data.
What clinical focus is listed for ProMedica Specialty Pharmacy #2?
At a glance, ProMedica Specialty Pharmacy #2 is tied to Pharmacy. Clinical services aligned with this taxonomy classification.
What locale is associated with ProMedica Specialty Pharmacy #2?
Directory geography for ProMedica Specialty Pharmacy #2 centers on Toledo, Ohio.
When was this NPI issued?
Enumeration for ProMedica Specialty Pharmacy #2 is noted as October 12, 2006 where the registry provides it.

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