OrganizationActive
Mediserv Duxberry Phcy Inc
NPI 1104904614 · Clinic Pharmacy · Columbus, OH
Mediserv Duxberry Phcy Inc is a Clinic Pharmacy organization in Columbus, OH (NPI 1104904614).
Provider details
- NPI number
- 1104904614
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Tracy Hammond, Third Party Admin(614) 481-4272
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2052 Cleveland Ave
Columbus, OH 43211-2216
Phone: (614) 294-0426
Fax: (614) 481-4272
Street-level locationGet directions
Mailing address
2052 Cleveland Ave
Columbus, OH 43211-2216
Other names (DBA / former)
- Doing business as
- Mediserv Duxberry Pharmacy
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2025-09-11
Frequently asked questions
- What is Mediserv Duxberry Phcy Inc's NPI number?
- Mediserv Duxberry Phcy Inc's National Provider Identifier (NPI) is 1104904614, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mediserv Duxberry Phcy Inc?
- Mediserv Duxberry Phcy Inc is classified in the NPPES registry as Clinic Pharmacy (Suppliers).
- Where is Mediserv Duxberry Phcy Inc located?
- Mediserv Duxberry Phcy Inc's practice location on file with NPPES is 2052 Cleveland Ave, Columbus, OH 43211-2216.
- What is Mediserv Duxberry Phcy Inc's phone number?
- The practice phone number listed in the NPPES registry for Mediserv Duxberry Phcy Inc is (614) 294-0426.
- Who is the authorized official for Mediserv Duxberry Phcy Inc?
- The authorized official listed on Mediserv Duxberry Phcy Inc's NPPES record is Tracy Hammond, Third Party Admin. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mediserv Duxberry Phcy Inc's NPI active?
- Yes — Mediserv Duxberry Phcy Inc's NPI (1104904614) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.