Individual provider Active NPI

Nicholas Bobak Rashedi, PHARMD

  • Pharmacist
  • Toledo, OH
National Provider Identifier
1194201152
Registry record updated Dec 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03337365 Issued in OH
Practice address
4121 Monroe St
Toledo, OH 43606-2063
Phone
(419) 475-4148
NPI assigned
Jul 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03337365 OH Primary

Addresses

Primary practice location

4121 Monroe St
Toledo, OH 43606-2063

Mailing address

4121 Monroe St
Toledo, OH 43606-2063
Phone (419) 475-4148

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

State licenses

LicenseStateTypeSpecialty
03337365OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores East, LP Past Accepting new patients
Ohio CVS Stores LLC PastSince Jan 3, 2021 Accepting new patients
Ohio CVS Stores, L.L.C. PastSince Jan 3, 2021 Accepting new patients
Wal-Mart Stores East LP Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608940800000",
    "number": "1194201152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 MONROE ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436062063",
            "telephone_number": "419-475-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 MONROE ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436062063",
            "telephone_number": "419-475-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASHEDI",
        "first_name": "NICHOLAS",
        "middle_name": "BOBAK",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-12",
        "last_updated": "2020-12-26",
        "certification_date": "2020-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03337365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2020; 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.