Active NPI
Azzie Osborne
- Pharmacist
- Waverly, OH
National Provider Identifier
1265969778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03131844
- Practice address
- 220 Waverly PLZ
Waverly, OH 45690-1222 - Phone
- (740) 947-0128
- NPI assigned
- May 15, 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 | 03131844 | OH | Primary |
Addresses
Primary practice location
220 Waverly PLZ
Waverly, OH 45690-1222
Mailing address
220 Waverly PLZ
Waverly, OH 45690-1222
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 |
|---|---|---|---|
| 03131844 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Co | Past | Accepting new patients | |
| The Kroger Co | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Waverly, OH
- NPI 1417981127
-
- Community/Retail Pharmacy
- Bethlehem, GA
- NPI 1154294205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494806400000",
"number": "1265969778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 WAVERLY PLZ",
"city": "WAVERLY",
"state": "OH",
"postal_code": "456901222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 WAVERLY PLZ",
"city": "WAVERLY",
"state": "OH",
"postal_code": "456901222",
"telephone_number": "740-947-0128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORNE",
"first_name": "AZZIE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-15",
"last_updated": "2017-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03131844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waverly, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.