Active NPI
Doug Yanky, RPH
- Pharmacist
- Oakwood Village, OH
National Provider Identifier
1548860760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03318642
- Practice address
- 23300 Broadway Ave
Oakwood Village, OH 44146-6016 - Phone
- (440) 201-1187
- NPI assigned
- Oct 27, 2020
- Sex
- Male
- 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 | 03318642 | OH | Primary |
Addresses
Primary practice location
23300 Broadway Ave
Oakwood Village, OH 44146-6016
Mailing address
5220 Summerwood Dr
Seville, OH 44273-8941
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 |
|---|---|---|---|
| 03318642 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1548860760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 SUMMERWOOD DR",
"city": "SEVILLE",
"state": "OH",
"postal_code": "442738941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23300 BROADWAY AVE",
"city": "OAKWOOD VILLAGE",
"state": "OH",
"postal_code": "441466016",
"telephone_number": "440-201-1187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANKY",
"first_name": "DOUG",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03318642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakwood Village, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.