Active NPI
Andrea Donaldson
- Pharmacist
- Plymouth, OH
National Provider Identifier
1407552946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03219329
- Practice address
- 262 Sandusky St
Plymouth, OH 44865-1151 - Phone
- (419) 687-9491
- Fax
- (419) 687-9492
- NPI assigned
- Feb 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03219329 | OH | Primary |
Addresses
Primary practice location
262 Sandusky St
Plymouth, OH 44865-1151
Mailing address
5506 Brookview LN
Upper Sandusky, OH 43351-9661
Phone (419) 310-1551
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03219329 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Koehler Drug Company Inc | Current | Accepting new patients | |
| Community Market of Ohio 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.
-
- Community/Retail Pharmacy
- Upper Sandusky, OH
- NPI 1255447884
-
- Community/Retail Pharmacy
- Plymouth, OH
- NPI 1215214887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1407552946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5506 BROOKVIEW LN",
"city": "UPPER SANDUSKY",
"state": "OH",
"postal_code": "433519661",
"telephone_number": "419-310-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 SANDUSKY ST",
"city": "PLYMOUTH",
"state": "OH",
"postal_code": "448651151",
"telephone_number": "419-687-9491",
"fax_number": "419-687-9492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONALDSON",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-06",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03219329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.