Mike Tell Char Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

020587300 Issued in OH

Legal business name

MIKE TELL CHAR INC

Practice address

3994 E Harbor Rd
Port Clinton, OH 43452-2671

Phone

(419) 732-6300

Fax

(419) 734-4063

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Jacqueline Gerber, RPHNPI 1144823576

Title

Pharmacist, Ao

Phone

(419) 732-6300

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Bassett's Market Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Gerber, RPH

  • Pharmacist
  • Sandusky, OH
  • NPI 1144823576
  NPD (past) Authorized official
• Stacey Lynn Zwiebel, RPH

  • Pharmacist
  • Port Clinton, OH
  • NPI 1356935209
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564704000000",
    "number": "1376657262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3994 E HARBOR RD",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522671",
            "telephone_number": "419-732-6300",
            "fax_number": "419-734-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3994 E HARBOR RD",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522671",
            "telephone_number": "419-732-6300",
            "fax_number": "419-734-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE TELL CHAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2019-08-02",
        "status": "A",
        "authorized_official_last_name": "GERBER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PHARMACIST, AO",
        "authorized_official_telephone_number": "419-732-6300",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "020587300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0739491",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2071108",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bassett's Market",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth McGuire, RPH
• Jasmine McKeever
• James Alexander McLean, M.D.
• Melinda Koskela, LLC
• Marian Mello
• Laura Ann Miller, LISWS
• Kaitlyn Rae Moeller
• Molly S Judge DPM
• Allen Morelock, PTA
• Brittany Morrison

• Community/Retail Pharmacy in Port Clinton, OH
• Providers in Port Clinton, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.