Individual provider Active NPI

Anthony Ray Mendenhall

  • Pharmacist
  • Strongsville, OH
National Provider Identifier
1295983468
Registry record updated Aug 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03-3-18272 Issued in OH
Practice address
14701 Pearl Rd
Pharmacy Department
Strongsville, OH 44136-5026
Phone
(440) 572-0455
Fax
(440) 268-0982
NPI assigned
Aug 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03-3-18272 OH Primary

Addresses

Primary practice location

14701 Pearl Rd
Pharmacy Department
Strongsville, OH 44136-5026

Mailing address

13463 Rosewood LN
Strongsville, OH 44136-2724
Phone (440) 846-6152

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Ohio 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": "1220054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220054400000",
    "number": "1295983468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13463 ROSEWOOD LN",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441362724",
            "telephone_number": "440-846-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 PEARL RD",
            "address_2": "PHARMACY DEPARTMENT",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441365026",
            "telephone_number": "440-572-0455",
            "fax_number": "440-268-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDENHALL",
        "first_name": "ANTHONY",
        "middle_name": "RAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-30",
        "last_updated": "2008-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-3-18272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2008; 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.