Individual provider Active NPI

Ted George Giallourakis, PHARMD

  • Pharmacist
  • Parma, OH
National Provider Identifier
1477839645
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03329040 Issued in OH
Practice address
1415 Rockside Rd
Parma, OH 44134-2701
Phone
(216) 325-5192
NPI assigned
Nov 1, 2011
Sex
Male
Sole proprietor
No

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.

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
03329040OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Apr 10, 2022 Accepting new patients
Walgreen Co Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03329040 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

1415 Rockside Rd
Parma, OH 44134-2701

Mailing address

4490 Prestwick Xing
Westlake, OH 44145-5068
Phone (614) 406-4616

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 1, 2011.

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1477839645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4490 PRESTWICK XING",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455068",
            "telephone_number": "614-406-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 ROCKSIDE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342701",
            "telephone_number": "216-325-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIALLOURAKIS",
        "first_name": "TED",
        "middle_name": "GEORGE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03329040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.