Organization Active NPI

Dragonfly Hospice Pharmacy

  • Pharmacy
  • Medina, OH
National Provider Identifier
1356808299
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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

Updated by the provider on Feb 27, 2019

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.