Individual provider Active NPI

Michael Philip Dombrowski, RPH

  • Pharmacist
  • Salem, OH
National Provider Identifier
1114673191
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03219387 Issued in OH
Practice address
1136 E State St
Salem, OH 44460-2256
Phone
(330) 332-9919
Fax
(330) 332-2501
NPI assigned
Feb 28, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03219387 OH Primary

Addresses

Primary practice location

1136 E State St
Salem, OH 44460-2256

Mailing address

1136 E State St
Salem, OH 44460-2256
Phone (330) 332-9919

Other identifiers 1

IdentifierTypeStateIssuer
RQ975253OtherOHSTATE ISSUED DRIVERS LICENSE

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
03219387OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Philip Dombrowski Current Accepting new patients
Mike'S Meds and More LLC Current Accepting new patients

Locations

1136 E State St
Salem, OH 44460
Phone (330) 332-9919

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": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1114673191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 E STATE ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602256",
            "telephone_number": "330-332-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E STATE ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602256",
            "telephone_number": "330-332-9919",
            "fax_number": "330-332-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMBROWSKI",
        "first_name": "MICHAEL",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03219387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ISSUED DRIVERS LICENSE",
            "identifier": "RQ975253",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.

Verify at the official NPI Registry.