Active NPI
Adam Prechtl
- Pharmacist
- Euclid, OH
National Provider Identifier
1003535428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03440661
- Practice address
- 22001 Lake Shore Blvd
Euclid, OH 44123-1710 - Phone
- (216) 731-2155
- NPI assigned
- Aug 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03440661 | OH | Primary |
Addresses
Primary practice location
22001 Lake Shore Blvd
Euclid, OH 44123-1710
Mailing address
35670 Neff Rd
Grafton, OH 44044-9815
Phone (440) 610-2189
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03440661 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1003535428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35670 NEFF RD",
"city": "GRAFTON",
"state": "OH",
"postal_code": "440449815",
"telephone_number": "440-610-2189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22001 LAKE SHORE BLVD",
"city": "EUCLID",
"state": "OH",
"postal_code": "441231710",
"telephone_number": "216-731-2155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRECHTL",
"first_name": "ADAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-26",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03440661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.