Active NPI
Timothy Robert Bodle, R.PH.
- Pharmacist
- Shelby, OH
National Provider Identifier
1194265231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03321685
- Practice address
- 11 Mansfield Ave
Shelby, OH 44875-1367 - Phone
- (419) 347-1506
- NPI assigned
- Mar 7, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03321685 | OH | Primary |
Addresses
Primary practice location
11 Mansfield Ave
Shelby, OH 44875-1367
Mailing address
5406 Ginger Hill Rd
Utica, OH 43080-9575
Phone (740) 973-7177
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03321685 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488844800000",
"number": "1194265231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5406 GINGER HILL RD",
"city": "UTICA",
"state": "OH",
"postal_code": "430809575",
"telephone_number": "740-973-7177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 MANSFIELD AVE",
"city": "SHELBY",
"state": "OH",
"postal_code": "448751367",
"telephone_number": "419-347-1506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODLE",
"first_name": "TIMOTHY",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-07",
"last_updated": "2017-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03321685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.