Southern Ohio Medical Center
NPI 1962861047 · Community/Retail Pharmacy · Portsmouth, OH
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Ohio Medical Center is a Community/Retail Pharmacy organization in Portsmouth, OH (NPI 1962861047).
Provider details
- NPI number
- 1962861047
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Rory Phillips, Director of Pharmacy and Respirator(740) 356-8113
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
93 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 55 | $20 |
| Admn Sarscov2 Vacc 1 Dose90480 | 38 | $35 |
Typical Medicare-allowed amounts for these services range $20–$35 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Somc Pharmacy South Campus
Registry dates
- Enumerated
- 2016-02-17
- Last updated
- 2016-02-17
Frequently asked questions
- What is Southern Ohio Medical Center's NPI number?
- Southern Ohio Medical Center's National Provider Identifier (NPI) is 1962861047, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Ohio Medical Center?
- Southern Ohio Medical Center is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Southern Ohio Medical Center located?
- Southern Ohio Medical Center's practice location on file with NPPES is 1248 Kinneys Ln, Portsmouth, OH 45662-2927.
- What is Southern Ohio Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Southern Ohio Medical Center is (740) 356-8193.
- Does Southern Ohio Medical Center accept Medicare?
- Southern Ohio Medical Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Ohio Medical Center?
- The authorized official listed on Southern Ohio Medical Center's NPPES record is Rory Phillips, Director of Pharmacy and Respirator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Ohio Medical Center's NPI active?
- Yes — Southern Ohio Medical Center's NPI (1962861047) is active in the NPPES registry as of the last update on 2016-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.