Active NPI
Justin Fru
- Pharmacist
- Centerville, OH
National Provider Identifier
1669876926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03130053
- Practice address
- 5300 Cornerstone North Blvd
Centerville, OH 45440-2268 - Phone
- (937) 640-6010
- NPI assigned
- Oct 15, 2014
- 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 | 03130053 | OH | Primary |
Addresses
Primary practice location
5300 Cornerstone North Blvd
Centerville, OH 45440-2268
Mailing address
5300 Cornerstone North Blvd
Centerville, OH 45440-2268
Phone (937) 640-6010
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 |
|---|---|---|---|
| 03130053 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1669876926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 CORNERSTONE NORTH BLVD",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454402268",
"telephone_number": "937-640-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 CORNERSTONE NORTH BLVD",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454402268",
"telephone_number": "937-640-6010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRU",
"first_name": "JUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-15",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03130053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
- Everlina M Frazier
- Freedom Health Center (Freedom Family Chiropractic)
- Fresenius Medical Care Centerville Home, LLC (Fresenius Kidney Care Centerville Home)
- Friends of the Castle, Inc.
- Sheena Ladeccia Frison
- Kayla Michelle Fryman, PA-C
- Full Circle Psychology LLC
- Nora Grace Fullenkamp
- Amanda Furnas, PHARMD
- Erica Gad, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.