Active NPI
Paul Anthony Clemens, RPH, PHARMD
- Pharmacist
- Ashtabula, OH
National Provider Identifier
1144542366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03329065
- Practice address
- 3551 N Ridge East
Ashtabula, OH 44004-4313 - Phone
- (440) 998-4004
- Fax
- (440) 998-0589
- NPI assigned
- Feb 16, 2010
- 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 | RP443046 | PA | |
| Pharmacist | 183500000X | 03329065 | OH | Primary |
Addresses
Primary practice location
3551 N Ridge East
Ashtabula, OH 44004-4313
Mailing address
3551 N Ridge East
Ashtabula, OH 44004-4313
Phone (440) 998-4004
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
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03329065 | OH | MD | Pharmacist |
| RP443046 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484179200000",
"number": "1144542366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 N RIDGE EAST",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440044313",
"telephone_number": "440-998-4004",
"fax_number": "440-998-0589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 N RIDGE EAST",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440044313",
"telephone_number": "440-998-4004",
"fax_number": "440-998-0589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENS",
"first_name": "PAUL",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "RPH, PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-16",
"last_updated": "2017-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP443046",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03329065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashtabula, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.