NPIMap

Organization Active NPI

Target

  • Pharmacist
  • Beavercreek, OH
National Provider Identifier
1164781167
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03325092 Issued in OH
Legal business name
TARGET
Practice address
2840 Ash Ridge Dr
Beavercreek, OH 45434-5895
Phone
(937) 751-6375
NPI assigned
May 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Lemlem TekleNPI 1538550314
Title
Pharmacist
Phone
(937) 854-9933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 03325092 OH Primary

Addresses

Primary practice location

2840 Ash Ridge Dr
Beavercreek, OH 45434-5895

Mailing address

2800 Shiloh Springs Rd
Trotwood, OH 45426-2137

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1164781167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 SHILOH SPRINGS RD",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "454262137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 ASH RIDGE DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454345895",
            "telephone_number": "937-751-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "TEKLE",
        "authorized_official_first_name": "LEMLEM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "937-854-9933"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03325092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.