Madison Avenue Pharmacy Inc
Madison Avenue Pharmacy Inc is a healthcare organization registered as Community/Retail Pharmacy in Springfield, OH, holding Type 2 (organization) NPI 1407930530 since 2006. The authorized official on file is Eric Juergens, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1407930530 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Madison Avenue Pharmacy Inc |
| Other name | <Unavail> |
| Practice address | 640 N FOUNTAIN AVE, Springfield, OH, 45504 |
| Phone | 9373231841 |
| Fax | 9373231016 |
| Enumeration date | 2006-10-25 |
| Last updated in NPPES | 2013-07-10 |
Authorized official
| Name | Eric Juergens |
|---|---|
| Title | Owner |
| Phone | 9373231841 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0004X | Compounding Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 022269200 | OH |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2072490 | Other | — | PK |
| 0081137 | Medicaid | OH | — |
Copy-ready billing details
Provider: Madison Avenue Pharmacy Inc NPI: 1407930530 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 640 N FOUNTAIN AVE, Springfield, OH, 45504
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1346302098 | Katrina Vaske | Individual | Pharmacist | Springfield, OH |
| 1295879369 | Madison Avenue Pharmacy | Organization | Durable Medical Equipment & Medical Supplies | Springfield, OH |
| 1780964353 | Christina Jones | Individual | Pharmacist | Springfield, OH |
| 1487434205 | Madison Avenue Pharmacy Inc | Organization | Long Term Care Pharmacy | Springfield, OH |
| 1235013319 | Rxavenue LLC | Organization | Compounding Pharmacy | Springfield, OH |
Verify this record
Cross-check NPI 1407930530 against the authoritative CMS record: view Madison Avenue Pharmacy Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Madison Avenue Pharmacy Inc located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-07-10.