Organization · Type 2 NPI

Third Street Community Clinic Inc

Community/Retail Pharmacy · Mansfield, OH

NPI number 1376447516 Active

Practice location

370 Cline Ave Ste 1
Mansfield, OH 44907-1057

Call (419) 522-6191 Map

Mailing address

1404 Park Ave W Ste 2
Ontario, OH 44906-2719

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy	3336C0002X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed
Mail Order Pharmacy	3336M0002X	None listed
Specialty Pharmacy	3336S0011X	None listed

Community/Retail Pharmacy: 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 …

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NPI record

NPI: 1376447516
Entity type: Organization (Type 2)
Issued: Oct 2, 2026
Last updated: Oct 27, 2026
Status: Active
Subpart: Yes of Third Street Community Clinic Inc

Other names

Third Street Pharmacy - Cline Avenue · doing business as

Authorized official

Jason Bilyj
Pharmacy Director
(419) 522-6191

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376447516

Third Street Community Clinic Inc's National Provider Identifier is 1376447516, issued on Oct 2, 2026. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Mansfield, OH. The record was last updated on Oct 27, 2026.