Active NPI
Dragonfly Hospice Pharmacy
- Pharmacy
- Medina, OH
National Provider Identifier
1356808299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- DRAGONFLY HOSPICE PHARMACY
- Practice address
- 5075 Windfall Rd # 253
Medina, OH 44256-8613 - Phone
- (330) 952-1011
- NPI assigned
- Feb 27, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michelle J Mikus, PHARMD
- Title
- VP Pharmacy Operations
- Phone
- (724) 414-1425
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
5075 Windfall Rd # 253
Medina, OH 44256-8613
Mailing address
264 Smith Township State Rd Ste 5
Burgettstown, PA 15021-2124
Phone (724) 414-1425
National Provider Directory
National Provider DirectoryLocations
5075 Windfall Rd
#253
Medina, OH 44256
Phone (330) 952-1011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551225600000",
"number": "1356808299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 SMITH TOWNSHIP STATE RD STE 5",
"city": "BURGETTSTOWN",
"state": "PA",
"postal_code": "150212124",
"telephone_number": "724-414-1425",
"fax_number": "855-445-4203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5075 WINDFALL RD # 253",
"city": "MEDINA",
"state": "OH",
"postal_code": "442568613",
"telephone_number": "330-952-1011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRAGONFLY HOSPICE PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-27",
"last_updated": "2019-02-27",
"status": "A",
"authorized_official_last_name": "MIKUS",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "VP PHARMACY OPERATIONS",
"authorized_official_telephone_number": "724-414-1425",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.