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Organization

Fidelity Health Care Inc

NPI Record: ActivePharmacy — Community/Retail Pharmacy
NPI1174988869
Moraine, Ohio

Provider's NPPES record last updated: December 16, 2020

Overview

Entity Type
Organization
NPI
1174988869
Primary Specialty
Pharmacy — Community/Retail Pharmacy
Practice Location
Moraine, Ohio
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 11:45 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

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This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

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Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pharmacy

    Community/Retail Pharmacy

    Suppliers

    Primary

    A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

    Taxonomy code 3336C0003X
  • Durable Medical Equipment & Medical Supplies

    Parenteral & Enteral Nutrition

    Suppliers

    Definition to come...

    Taxonomy code 332BP3500X
  • Pharmacy

    Suppliers

    A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

    Taxonomy code 333600000X
  • Pharmacy

    Clinic Pharmacy

    Suppliers

    A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

    Taxonomy code 3336C0002X
  • Pharmacy

    Home Infusion Therapy Pharmacy

    Suppliers

    Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.

    Taxonomy code 3336H0001X

Provider-Reported License Information

Pharmacy (Ohio)
CLPH022566500-03
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

3170 Kettering Blvd Bldg B

Moraine, Ohio 45439-1924

Phone: (937) 208-7966

Other Names

  • Premier Health Pharmacy-FidelityReported December 16, 2020
  • Premier Health Pharmacy-FidelityReported December 30, 2015

Record Information

Enumeration Date
December 22, 2015
Provider's NPPES Record Last Updated
December 16, 2020
Certification Date
December 16, 2020
NPISignal NPPES Dataset
August 2026

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