Active NPI
Gregory Richard Kurtz, RPH
- Pharmacist
- Sylvania, OH
National Provider Identifier
1487070363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03317260
- Practice address
- 5200 Harroun Rd
Sylvania, OH 43560-2168 - Phone
- (419) 824-1090
- NPI assigned
- Mar 14, 2014
- Last updated
- Apr 1, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03317260 | OH | Primary |
| Pharmacist | 183500000X | 5302025992 | MI |
Addresses
Primary practice location
5200 Harroun Rd
Sylvania, OH 43560-2168
Mailing address
5403 Olde Post Rd
Sylvania, OH 43560-1111
Phone (419) 343-5418
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302025992 | MI | MD | Pharmacist |
| 03317260 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396310400000",
"number": "1487070363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5403 OLDE POST RD",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435601111",
"telephone_number": "419-343-5418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 HARROUN RD",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435602168",
"telephone_number": "419-824-1090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURTZ",
"first_name": "GREGORY",
"middle_name": "RICHARD",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-14",
"last_updated": "2014-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03317260",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302025992",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylvania, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.