Active NPI
Lisa Swary
- Pharmacist
- Bryan, OH
National Provider Identifier
1265033872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03318433
- Practice address
- 1215 S Main St
Bryan, OH 43506-2442 - Phone
- (419) 636-9153
- NPI assigned
- Nov 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 03318433 | OH | Primary |
Addresses
Primary practice location
1215 S Main St
Bryan, OH 43506-2442
Mailing address
11527 County Road H
Holgate, OH 43527-9729
Phone (419) 439-1078
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
| License | State | Type | Specialty |
|---|---|---|---|
| 03318433 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604275200000",
"number": "1265033872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11527 COUNTY ROAD H",
"city": "HOLGATE",
"state": "OH",
"postal_code": "435279729",
"telephone_number": "419-439-1078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 S MAIN ST",
"city": "BRYAN",
"state": "OH",
"postal_code": "435062442",
"telephone_number": "419-636-9153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWARY",
"first_name": "LISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-02",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03318433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryan, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.