Trisha Kettler

Primary specialty

PharmacistTaxonomy code 183500000X

License

03227933 Issued in OH

Practice address

713 N State St
Girard, OH 44420-1750

Phone

(330) 545-8414

NPI assigned

May 2, 2011

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rite Aid of Ohio Inc

  • Community/Retail Pharmacy
  • Girard, OH
  • NPI 1407965767
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 2, 2011.

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1649562174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 CAROLINE AVE",
            "city": "HUBBARD",
            "state": "OH",
            "postal_code": "444251535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 N STATE ST",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201750",
            "telephone_number": "330-545-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTLER",
        "first_name": "TRISHA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03227933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James J Enyeart MD Inc
• Sarah Jenkins, OTRL
• Jim McGaha & Associates, Inc.
• Jim McGaha & Associates,Inc.
• Josie Lee Johnson
• Jalen Klinger
• Mark Krieg, COTA/L
• Kimberly Marie Kuneli, LPCC
• Thomas W Kunkel, DPM
• William Thomas Kunkel Jr., DDS

• All providers in Girard, OH
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.