Individual provider Active NPI

Robert Wayne Curlis, RPH

  • Pharmacist
  • Sidney, OH
National Provider Identifier
1568066579
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03219555 Issued in OH
Practice address
324 East Fourth St
Sidney, OH 45365
Phone
(937) 492-0700
Fax
(937) 497-8007
NPI assigned
Nov 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03219555 OH Primary

Addresses

Primary practice location

324 East Fourth St
Sidney, OH 45365

Mailing address

1785 Port Jefferson Rd
Sidney, OH 45365-1939
Phone (937) 726-9014

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

LicenseStateTypeSpecialty
03219555OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
PD Providers Inc Current Accepting new patients
Ohio CVS Stores LLC PastSince Dec 6, 2020 Accepting new patients
Ohio CVS Stores, L.L.C. PastSince Dec 6, 2020 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1568066579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 PORT JEFFERSON RD",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453651939",
            "telephone_number": "937-726-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 EAST FOURTH ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "45365",
            "telephone_number": "937-492-0700",
            "fax_number": "937-497-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURLIS",
        "first_name": "ROBERT",
        "middle_name": "WAYNE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03219555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, OH

Sources for this page

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

Verify at the official NPI Registry.