OrganizationActive
Madison Avenue Pharmacy Inc
NPI 1407930530 · Community/Retail Pharmacy · Springfield, OH
Provider details
- NPI number
- 1407930530
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Eric Juergens, Owner(937) 323-1841
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Compounding Pharmacy3336C0004X
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
640 N Fountain Ave
Springfield, OH 45504-2202
Phone: (937) 323-1841
Fax: (937) 323-1016
Street-level locationGet directions
Mailing address
640 N Fountain Ave
Springfield, OH 45504-2202
Other names (DBA / former)
- Doing business as
- Madison Avenue Pharmacy Inc
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2013-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.