Healthcare Provider Details

I. General information

NPI: 1962380584
Provider Name (Legal Business Name): EXPRESS PHARMACY & DME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2750 S HAMILTON RD STE 19
COLUMBUS OH
43232-5188
US

IV. Provider business mailing address

2750 S HAMILTON RD STE 19
COLUMBUS OH
43232-5188
US

V. Phone/Fax

Practice location:
  • Phone: 614-495-9097
  • Fax:
Mailing address:
  • Phone: 614-495-9097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DANIEL W AMOH
Title or Position: PHARMACIST-IN -CHARGE
Credential:
Phone: 210-981-9690