Active NPI
Jay C Paeltz
- Pharmacist
- Loveland, OH
National Provider Identifier
1598040198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03318313
- Practice address
- 6385 Branch Hill-Guinea Pike
Loveland, OH 45140 - Phone
- (513) 697-6574
- Fax
- (513) 697-1524
- NPI assigned
- Oct 14, 2011
- 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 | 03318313 | OH | Primary |
Addresses
Primary practice location
6385 Branch Hill-Guinea Pike
Loveland, OH 45140
Mailing address
6385 Branch Hill-Guinea Pike
Loveland, OH 45140
Phone (513) 697-6574
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 033183313 | Other | OH | OHIO STATE BOARD OF PHARMACY |
| RU166406 | Other | OH | STATE OF OHIO DRIVERS LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03318313 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1598040198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6385 BRANCH HILL-GUINEA PIKE",
"city": "LOVELAND",
"state": "OH",
"postal_code": "45140",
"telephone_number": "513-697-6574",
"fax_number": "513-697-1524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6385 BRANCH HILL-GUINEA PIKE",
"city": "LOVELAND",
"state": "OH",
"postal_code": "45140",
"telephone_number": "513-697-6574",
"fax_number": "513-697-1524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAELTZ",
"first_name": "JAY",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-14",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03318313",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO STATE BOARD OF PHARMACY",
"identifier": "033183313",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF OHIO DRIVERS LICENSE",
"identifier": "RU166406",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Loveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.