RX INSTITUTIONAL SERVICES LLC – Long Term Care Pharmacy, NPI 1508053075
Long Term Care Pharmacy
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for RX INSTITUTIONAL SERVICES LLC
8571 FOXWOOD CT STE A
POLAND, OH 445144313
Phone: (330) 318-3926
Fax: (330) 318-3927
Type: Mailing
340, Boardman Canfield Road, Boardman Plaza, Boardman, Mahoning County, Ohio, 44512, United States
BOARDMAN, OH 44512
Phone: (330) 505-1979
Fax: (330) 505-4178
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: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-12-31 (163 days ago).
Enrollment records
2
Earliest due date
2025-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20091103000181 | O | Mass Immunization (Roster Biller Only) | OH | TBD |
| O20100930068397 | O | Pharmacy | OH | 2025-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 121 | 121 | $0 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 121 | 121 | $0 |
Insurance plans in this area (ZIP 44514)
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