Active NPI
Danielle Tedesco
- Pharmacist
- Dennison, OH
National Provider Identifier
1033701032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03125665
- Practice address
- 21 Grant St
Dennison, OH 44621-1270 - Phone
- (740) 922-2591
- NPI assigned
- Feb 10, 2021
- Last updated
- Feb 10, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 03125665 | OH | Primary |
Addresses
Primary practice location
21 Grant St
Dennison, OH 44621-1270
Mailing address
21 Grant St
Dennison, OH 44621-1270
Phone (740) 922-2591
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 |
|---|---|---|---|
| 03125665 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio CVS Stores, L.L.C. | Pharmacist | Past | Accepting new patients |
| Ohio CVS Stores, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1033701032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 GRANT ST",
"city": "DENNISON",
"state": "OH",
"postal_code": "446211270",
"telephone_number": "740-922-2591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 GRANT ST",
"city": "DENNISON",
"state": "OH",
"postal_code": "446211270",
"telephone_number": "740-922-2591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEDESCO",
"first_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-10",
"last_updated": "2021-02-10",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03125665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dennison, OH
- Jason John Snyder, D.D.S.
- Steel Valley Emergency Physicians Twin City Inc
- Thomas A Steele, DDS
- Colton Russell Stinger, MD
- Zaev David Suskin, MD, MBE
- Ten Broeck Tennessee Physicians Group Inc (Vibrant Living: A Program For Seniors)
- Ten Lakes Center, LLC
- Jennifer M Thomas, CNP
- Tricounty Radiology Associates
- Trinity Hospital Twin City
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.