Organization Active NPI

Fields Family Enterprises Inc

Doing business as Dot's Pharmacy

  • Community/Retail Pharmacy
  • Centerville, OH
National Provider Identifier
1013106202
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
021741050 Issued in OH
Legal business name
FIELDS FAMILY ENTERPRISES INC
Doing business as
Dot's Pharmacy
Practice address
101 E Alex Bell Rd Ste 172
Centerville, OH 45459-2752
Phone
(937) 221-9240
Fax
(937) 795-3291
NPI assigned
Oct 24, 2007
Last updated
May 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jordan Mark Mullins, PHARMD
Title
Pic, Director of Pharmacy
Phone
(513) 600-8236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 021741050 OH Primary

Addresses

Primary practice location

101 E Alex Bell Rd Ste 172
Centerville, OH 45459-2752

Mailing address

415 S Main St
Waynesville, OH 45068-9553
Phone (513) 897-7076

Other identifiers 1

IdentifierTypeStateIssuer
3676458OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Dot's Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

101 E Alex Bell Rd
Ste 172
Centerville, OH 45459
Phone (937) 221-9240

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1013106202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S MAIN ST",
            "city": "WAYNESVILLE",
            "state": "OH",
            "postal_code": "450689553",
            "telephone_number": "513-897-7076",
            "fax_number": "513-897-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E ALEX BELL RD STE 172",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592752",
            "telephone_number": "937-221-9240",
            "fax_number": "937-795-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIELDS FAMILY ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PIC, DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "513-600-8236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "021741050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3676458",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dot's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.