Jason Mondville-Davis, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

09315184 Issued in OH

Practice address

810 E Manhattan Blvd
Toledo, OH 43608-1471

Phone

(419) 729-2907

Fax

(419) 729-2834

NPI assigned

Apr 15, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lane Drug Co

  • Community/Retail Pharmacy
  • Findlay, OH
  • NPI 1184630493
  NPD (past)
• Lane Drug Co

  • Community/Retail Pharmacy
  • Toledo, OH
  • NPI 1841309184
  NPD (past)

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1427639095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E MANHATTAN BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436081471",
            "telephone_number": "419-729-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E MANHATTAN BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436081471",
            "telephone_number": "419-729-2907",
            "fax_number": "419-729-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDVILLE-DAVIS",
        "first_name": "JASON",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "OH",
            "license": "09315184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF PHARMACY",
            "identifier": "09315184",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTCB",
            "identifier": "30128541",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nichole A. Monahan, MSW, LISW-S, LICDC
• Kristin Moncrief, OPTICIAN
• Jodian Moncrieffe, RN
• Michelle Elaine Mondragon, LMT
• Stephanie Mondragon
• Crystal Joy Monford
• Amy Monhollen
• Melissa Ann Monhollen
• Monica J. Young MD LLC
• Brittany Monie, MD

• Pharmacy Technician in Toledo, OH
• Providers in Toledo, OH by specialty
• Pharmacy Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.