Harvest Grove Ltc, LLC
NPI 1548874316ActiveOrganization· Pharmacy· Medina, OH
Pharmacy in Medina, Ohio, registered in NPPES in August 2020. The authorized official on file is Allison L. Brown, Secretary. Medicare paid $4,229 for services to 17 patients in 2024.
Overview
| NPI | 1548874316 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2020 |
| Last updated in NPPES | Apr 7, 2025 |
| Certified by provider | Apr 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Pharmacy, Compounding Pharmacy | 3336C0004X | — | — |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (OH); Part B Supplier - Mass Immunization (Roster Biller Only) (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 56 across 6 procedure codes |
| Paid by Medicare | $4,229 |
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