Individual provider Active NPI

John Neckel

  • Pharmacist
  • Fairfield, OH
National Provider Identifier
1205109147
Registry record updated Dec 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03108590 Issued in OH
Practice address
5502 Dixie Hwy
Fairfield, OH 45014-4297
Phone
(513) 874-5868
NPI assigned
Feb 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03108590 OH Primary

Addresses

Primary practice location

5502 Dixie Hwy
Fairfield, OH 45014-4297

Mailing address

5502 Dixie Hwy
Fairfield, OH 45014-4297
Phone (513) 874-5868

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

State licenses

LicenseStateTypeSpecialty
03108590OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Health Services Inc Past Accepting new patients

Organizations & group practices 1

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": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419465600000",
    "number": "1205109147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 DIXIE HWY",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144297",
            "telephone_number": "513-874-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 DIXIE HWY",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144297",
            "telephone_number": "513-874-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NECKEL",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-22",
        "last_updated": "2014-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03108590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2014; 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.