Healthcare Provider Details

I. General information

NPI: 1275642381
Provider Name (Legal Business Name): UPTOWN PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 N STATE ST
WESTERVILLE OH
43081-2113
US

IV. Provider business mailing address

23 N STATE ST
WESTERVILLE OH
43081-2113
US

V. Phone/Fax

Practice location:
  • Phone: 614-882-2392
  • Fax: 614-882-2399
Mailing address:
  • Phone: 614-882-2392
  • Fax: 614-882-2399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberRTP02041870003
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MAX PEOPLES
Title or Position: OWNER
Credential: RPH
Phone: 614-882-2392