Healthcare Provider Details

I. General information

NPI: 1124952874
Provider Name (Legal Business Name): PPRX PHARMACY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 W EXCHANGE ST STE C
AKRON OH
44302-1711
US

IV. Provider business mailing address

444 W EXCHANGE ST STE C
AKRON OH
44302-1711
US

V. Phone/Fax

Practice location:
  • Phone: 330-617-8468
  • Fax: 833-623-2876
Mailing address:
  • Phone: 330-617-8468
  • Fax: 833-623-2876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: NANEESHA PITTS-COHEN
Title or Position: COMMUNITY ENGAGEMENT & STRATEGIC IN
Credential:
Phone: 614-390-3484