Individual provider Active NPI

Linda Deem, R.PH.

  • Pharmacist
  • Marysville, OH
National Provider Identifier
1639765076
Registry record updated Dec 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03221150 Issued in OH
Practice address
969 W 5TH St
Marysville, OH 43040-1070
Phone
(937) 644-3615
Fax
(937) 642-0789
NPI assigned
Dec 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 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 03221150 OH Primary

Addresses

Primary practice location

969 W 5TH St
Marysville, OH 43040-1070

Mailing address

969 W 5TH St
Marysville, OH 43040-1070
Phone (937) 644-3615

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
03221150OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608422400000",
    "number": "1639765076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 W 5TH ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401070",
            "telephone_number": "937-644-3615",
            "fax_number": "937-642-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 W 5TH ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401070",
            "telephone_number": "937-644-3615",
            "fax_number": "937-642-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEM",
        "first_name": "LINDA",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-20",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03221150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.