Rolland Gene Eckley, R.PH.
Individual provider Active NPI Pharmacist · Swanton, OH
NPI 1124391982 · NPPES record last updated Feb 9, 2012
Key facts
- NPI
- 1124391982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03111068 (OH)
- Practice address
- 13329 County Road 1
Swanton, OH 43558-9530 - Phone
- (419) 826-2348
- NPI assigned
- Feb 9, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH011300 | GA | MD | Pharmacist |
| PH-1365 | HI | MD | Pharmacist |
| 5302022037 | MI | MD | Pharmacist |
| 10257 | NV | MD | Pharmacist |
| 03111068 | OH | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10257 | NV | |
| Pharmacist | 183500000X | RPH011300 | GA | |
| Pharmacist | 183500000X | 5302022037 | MI | |
| Pharmacist | 183500000X | 03111068 | OH | Yes |
| Pharmacist | 183500000X | PH-1365 | HI |
Addresses
Primary practice location
13329 County Road 1
Swanton, OH 43558-9530
Mailing address
13329 County Road 1
Swanton, OH 43558-9530
Phone (419) 826-2348
Other providers in Swanton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2012. 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.