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Douglas Randolph Mack , PHARMACIST

Pharmacist • West Union, OH

Active NPI 1336869841 Individual Practitioner Male Practitioner
Practice location in NPPES

90 Cic Blvd
West Union, OH 456938024

Call 9375448989 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

90 Cic Blvd

West Union, OH 456938024

Telephone 9375448989
Organization at the Same NPPES Address or Phone
Southern Ohio Medical Center Facility NPI 1386059228

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in West Union and Ohio

10 active clinicians are listed under Pharmacist with a practice address in West Union, OH (10,836 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-07-14
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES OH 03311666

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
NPI 1467655647

Doctor of Osteopathic Medicine (D.O.)

Sarica Lillie , CNP

Nurse Practitioner

NPI 1326568528

Certified Nurse Practitioner

Dr. Robert Newman , MD

Family Medicine

NPI 1154491249

Doctor of Medicine (M.D.)

Kelsey Potter , FNP

Nurse Practitioner

NPI 1619597010

Family Nurse Practitioner

NPI 1821043449

Doctor of Medicine (M.D.)

Dr. John Shupert , MD

Family Medicine

NPI 1932148160

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated September 02, 2022.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from September 2022 to August 2026.

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NPI Administrative Meta

NPI Number: 1336869841
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 02, 2022
Last Update: September 02, 2022
Sole Proprietor: Yes

Mailing Address

90 Cic Blvd

West Union, OH 456938024

Phone: 9375448989

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.