Active NPI
Adam Christopher Sassack, PHARMD
- Pharmacist
- Cincinnati, OH
National Provider Identifier
1568743953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03230333
- Practice address
- 3822 Paxton Ave
Cincinnati, OH 45209-2399 - Phone
- (513) 871-4615
- NPI assigned
- Aug 30, 2011
- Last updated
- Aug 30, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03230333 | OH | Primary |
Addresses
Primary practice location
3822 Paxton Ave
Cincinnati, OH 45209-2399
Mailing address
4132 Roland Creek Dr
Cincinnati, OH 45245-7045
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
| License | State | Type | Specialty |
|---|---|---|---|
| 03230333 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1568743953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4132 ROLAND CREEK DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452457045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3822 PAXTON AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452092399",
"telephone_number": "513-871-4615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SASSACK",
"first_name": "ADAM",
"middle_name": "CHRISTOPHER",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-30",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03230333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.