Individual provider Active NPI

Peter Sotiropoulos

  • Pharmacist
  • North Canton, OH
National Provider Identifier
1073285938
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03320097 Issued in OH
Practice address
1955 E Maple St
North Canton, OH 44720-3333
Phone
(330) 497-0963
Fax
(330) 497-1993
NPI assigned
Sep 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03320097 OH Primary

Addresses

Primary practice location

1955 E Maple St
North Canton, OH 44720-3333

Mailing address

5041 Shady Knoll Ave NW
Massillon, OH 44646-9211
Phone (330) 265-1750

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

LicenseStateTypeSpecialty
03320097OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Tamarkin Company PastSince Oct 5, 2021 Accepting new patients
The Tamarkin Company PastSince Oct 5, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1073285938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 SHADY KNOLL AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469211",
            "telephone_number": "330-265-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 E MAPLE ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447203333",
            "telephone_number": "330-497-0963",
            "fax_number": "330-497-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTIROPOULOS",
        "first_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03320097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.