Organization Active NPI

Joseph Zelek

Doing business as Dillonvale Pharmacy

  • Community/Retail Pharmacy
  • Dillonvale, OH
National Provider Identifier
1336276807
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JOSEPH ZELEK
Doing business as
Dillonvale Pharmacy
Practice address
74 Main St
Dillonvale, OH 43917-7890
Phone
(740) 769-7332
Fax
(740) 769-2372
NPI assigned
Feb 28, 2007
Last updated
Oct 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Joseph Zelek, PHARMACIST
Title
Owner
Phone
(740) 769-7332

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 020164000 OH
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

74 Main St
Dillonvale, OH 43917-7890

Mailing address

74 Main St
Dillonvale, OH 43917-7890

Other identifiers 2

IdentifierTypeStateIssuer
9207937MedicaidOH
3636973OtherOTHER ID NUMBER

Other names 1

  • Dillonvale Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

74 Main St
Dillonvale, OH 43917
Phone (740) 769-7332

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1336276807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 MAIN ST",
            "city": "DILLONVALE",
            "state": "OH",
            "postal_code": "439177890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 MAIN ST",
            "city": "DILLONVALE",
            "state": "OH",
            "postal_code": "439177890",
            "telephone_number": "740-769-7332",
            "fax_number": "740-769-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH ZELEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "ZELEK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-769-7332",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "020164000",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9207937",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3636973",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dillonvale Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dillonvale, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.