NPI Portal NPI Lookup & Verification

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?
The practice location on file with NPPES is in Spencerville, OH.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-01-23. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-01-23.