419-647-4584.
419-647-4584. is a healthcare organization registered as Point of Service in Spencerville, OH, holding Type 2 (organization) NPI 1750686770 since 2011. The authorized official on file is Cathy Bates, Student.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1750686770 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 419-647-4584. |
| Parent organization | No |
| Practice address | 102 S BROADWAY ST, Spencerville, OH, 45887 |
| Phone | 6145829253 |
| Enumeration date | 2011-01-23 |
| Last updated in NPPES | 2011-01-23 |
Authorized official
| Name | Cathy Bates |
|---|---|
| Title | Student |
| Phone | 4196479999 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 305S00000X | Point of Service | Primary | 788776765655 | OH |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 574184689203 | Medicaid | OH | — |
Copy-ready billing details
Provider: 419-647-4584. NPI: 1750686770 Taxonomy: 305S00000X (Point of Service) Address: 102 S BROADWAY ST, Spencerville, OH, 45887
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1255334728 | Y and B Drug Inc | Organization | Community/Retail Pharmacy | Spencerville, OH |
| 1689693012 | Lori Ringwald | Individual | Pharmacist | Spencerville, OH |
| 1437167988 | Kathleen Burkholder | Individual | Pharmacist | Spencerville, OH |
Verify this record
Cross-check NPI 1750686770 against the authoritative CMS record: view 419-647-4584. 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 419-647-4584. located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-01-23.