Individual provider Active NPI

Ashley M Zegarac

  • Pharmacist
  • Broadview Heights, OH
National Provider Identifier
1417203258
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03132267 Issued in OH
Practice address
7966 Twin Oaks Dr
Broadview Heights, OH 44147-1021
Phone
(440) 292-6187
NPI assigned
Jul 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03132267 OH Primary

Addresses

Primary practice location

7966 Twin Oaks Dr
Broadview Heights, OH 44147-1021

Mailing address

7966 Twin Oaks Dr
Broadview Heights, OH 44147-1021
Phone (440) 292-6187

Other identifiers 1

IdentifierTypeStateIssuer
03132267OtherOHOHIO BOARD OF PHARMACY

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

LicenseStateTypeSpecialty
03132267OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1417203258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7966 TWIN OAKS DR",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441471021",
            "telephone_number": "440-292-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7966 TWIN OAKS DR",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441471021",
            "telephone_number": "440-292-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEGARAC",
        "first_name": "ASHLEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03132267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF PHARMACY",
            "identifier": "03132267",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadview Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.