Active NPI
Thomas Bartley
- Pharmacist
- Waverly, OH
National Provider Identifier
1629427034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03310446
- Practice address
- 302 E. Emmitt Ave.
Waverly, OH 45690 - Phone
- (740) 947-2126
- NPI assigned
- Jun 7, 2016
- Last updated
- Jun 7, 2016
- 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 | 03310446 | OH | Primary |
Addresses
Primary practice location
302 E. Emmitt Ave.
Waverly, OH 45690
Mailing address
1490 State Route 552
Waverly, OH 45690-9653
Phone (740) 947-2126
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 |
|---|---|---|---|
| 03310446 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bartleys Discount Pharmacy Inc | Past | Accepting new patients | |
| Ohio CVS Stores, L.L.C. | 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.
-
dba Bartleys Discount Pharmacy
- Community/Retail Pharmacy
- Waverly, OH
- NPI 1396756953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465257600000",
"number": "1629427034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1490 STATE ROUTE 552",
"city": "WAVERLY",
"state": "OH",
"postal_code": "456909653",
"telephone_number": "740-947-2126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 E. EMMITT AVE.",
"city": "WAVERLY",
"state": "OH",
"postal_code": "45690",
"telephone_number": "740-947-2126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTLEY",
"first_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-07",
"last_updated": "2016-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03310446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waverly, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.