Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madison Avenue Pharmacy Inc

Organization Pharmacy · NPI 1407930530

Madison Avenue Pharmacy Inc is a Pharmacy in Springfield, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

640 N Fountain Ave
Springfield, OH 45504-2202
Phone: (937) 323-1841
Fax: (937) 323-1016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 022269200 (OH)
Pharmacy Taxonomy 333600000X
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1407930530
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Juergens — Owner · (937) 323-1841
Other names Madison Avenue Pharmacy Inc
NPI enumeratedOctober 25, 2006
Last updated in NPPESJuly 10, 2013
Mailing address640 N Fountain Ave, Springfield, OH 45504-2202

Other providers in Springfield