Individual provider Active NPI

Steven Richard Endicott, R.PH.

  • Pharmacist
  • Findlay, OH
National Provider Identifier
1346987369
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03217843 Issued in OH
Practice address
2017 Broad Ave
Findlay, OH 45840-2749
Phone
(567) 251-3900
Fax
(567) 251-3901
NPI assigned
May 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03217843 OH Primary

Addresses

Primary practice location

2017 Broad Ave
Findlay, OH 45840-2749

Mailing address

109 Creswell Dr
Van Buren, OH 45889-9727
Phone (419) 306-9757

Other practice location 1

13710 Deshler Rd
North Baltimore, OH 45872-9794
Phone (419) 257-2221

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
03217843OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Scot Inc PastSince May 22, 2022 Accepting new patients
Great Scot Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1346987369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CRESWELL DR",
            "city": "VAN BUREN",
            "state": "OH",
            "postal_code": "458899727",
            "telephone_number": "419-306-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 BROAD AVE",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458402749",
            "telephone_number": "567-251-3900",
            "fax_number": "567-251-3901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13710 Deshler Rd",
            "address_purpose": "LOCATION",
            "city": "North Baltimore",
            "state": "OH",
            "postal_code": "458729794",
            "country_code": "US",
            "telephone_number": "419-257-2221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENDICOTT",
        "first_name": "STEVEN",
        "middle_name": "RICHARD",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03217843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.