Danielle Tedesco
Individual provider Active NPI Pharmacist · Dennison, OH
NPI 1033701032 · NPPES record last updated Feb 10, 2021
Key facts
- NPI
- 1033701032
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03125665 (OH)
- Practice address
- 21 Grant St
Dennison, OH 44621-1270 - Phone
- (740) 922-2591
- NPI assigned
- Feb 10, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03125665 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio CVS Stores, L.L.C. | Past |
Accepting new patients | |
| Ohio CVS Stores, L.L.C. | Pharmacist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03125665 | OH | Yes |
Addresses
Primary practice location
21 Grant St
Dennison, OH 44621-1270
Mailing address
21 Grant St
Dennison, OH 44621-1270
Phone (740) 922-2591
Other providers in Dennison, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.