Active NPI
James V Borrelli, RPH
- Pharmacist
- Vincent, OH
National Provider Identifier
1124310552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16229
- Practice address
- 8465 State Route 339
Vincent, OH 45784-5647 - Phone
- (740) 678-2384
- Fax
- (740) 678-2962
- NPI assigned
- May 3, 2011
- Last updated
- Apr 20, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16229 | OH | Primary |
| Pharmacist | 183500000X | 4423 | WV |
Addresses
Primary practice location
8465 State Route 339
Vincent, OH 45784-5647
Mailing address
8465 State Route 339
Vincent, OH 45784-5647
Phone (740) 678-2384
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4423 | WV | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 16229 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492646400000",
"number": "1124310552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8465 STATE ROUTE 339",
"city": "VINCENT",
"state": "OH",
"postal_code": "457845647",
"telephone_number": "740-678-2384",
"fax_number": "740-678-2962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8465 STATE ROUTE 339",
"city": "VINCENT",
"state": "OH",
"postal_code": "457845647",
"telephone_number": "740-678-2384",
"fax_number": "740-678-2962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORRELLI",
"first_name": "JAMES",
"middle_name": "V",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-03",
"last_updated": "2017-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "16229",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "4423",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vincent, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.