Individual provider Active NPI

Denise Ann Poeppelman

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Dayton, OH
National Provider Identifier
1184235103
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
03-3-20005 Issued in OH
Practice address
4506 Brandt Pike
Dayton, OH 45424-6071
Phone
(937) 233-8930
Fax
(937) 233-5135
NPI assigned
Aug 13, 2020
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 03-3-20005 OH Primary

Addresses

Primary practice location

4506 Brandt Pike
Dayton, OH 45424-6071

Mailing address

13470 Renee Dr
Anna, OH 45302-9656
Phone (614) 309-0011

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Limited Partnership I PastSince Aug 23, 2020 Accepting new patients
Kroger Limited Partnership I PastSince Aug 23, 2020 Accepting new patients
Kroger Limited Partnership I Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1184235103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13470 RENEE DR",
            "city": "ANNA",
            "state": "OH",
            "postal_code": "453029656",
            "telephone_number": "614-309-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4506 BRANDT PIKE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454246071",
            "telephone_number": "937-233-8930",
            "fax_number": "937-233-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POEPPELMAN",
        "first_name": "DENISE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OH",
            "license": "03-3-20005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.