Kelli Renee Dorn, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

03129379 Issued in OH

Practice address

7643 Ponderosa Rd
Perrysburg, OH 43551-4862

Phone

(419) 661-2222

Fax

(401) 652-1576

NPI assigned

Aug 20, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Lane Drug Co

  • Community/Retail Pharmacy
  • Findlay, OH
  • NPI 1184630493
  NPD (past)
• Lane Drug Co

  • Community/Retail Pharmacy
  • Toledo, OH
  • NPI 1225051030
  NPD (past)

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1205068558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29024 BELMONT FARM RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513778",
            "telephone_number": "419-306-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7643 PONDEROSA RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435514862",
            "telephone_number": "419-661-2222",
            "fax_number": "401-652-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORN",
        "first_name": "KELLI",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26031084A",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03129379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Joseph Domini, M.D.
• Robert Marc Donawa, M.D.
• Ava Donnersbach
• Steven B. Dood, M.D.
• Zachary D Dooley, TRAINING CERT MD
• Nicole Doseck, CNP
• Bouchra S Doumet, MD
• Mahdi Nicola Doumet, MD
• Alexis Douville, LPCC
• Timi Douvlis

• Pharmacist in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.