Active NPI
Elias Ghosn
- Pharmacist
- Avon, OH
National Provider Identifier
1649532334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03326999
- Practice address
- 36008 Detroit Rd
Avon, OH 44011-1641 - Phone
- (440) 937-4027
- NPI assigned
- Jun 9, 2012
- Last updated
- Jun 9, 2012
- 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 | 03326999 | OH | Primary |
Addresses
Primary practice location
36008 Detroit Rd
Avon, OH 44011-1641
Mailing address
5187 Ravenway Dr
North Ridgeville, OH 44039-1073
Phone (440) 353-0109
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 |
|---|---|---|---|
| 03326999 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio CVS Stores, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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": "1339200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339200000000",
"number": "1649532334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5187 RAVENWAY DR",
"city": "NORTH RIDGEVILLE",
"state": "OH",
"postal_code": "440391073",
"telephone_number": "440-353-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36008 DETROIT RD",
"city": "AVON",
"state": "OH",
"postal_code": "440111641",
"telephone_number": "440-937-4027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHOSN",
"first_name": "ELIAS",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-09",
"last_updated": "2012-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03326999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.