Discount Phamacy Elyria LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

022458100 Issued in OH

Legal business name

DISCOUNT PHAMACY ELYRIA LLC

Practice address

403 Cleveland St
Elyria, OH 44035-6143

Phone

(440) 366-1035

Fax

(440) 366-0028

NPI assigned

Nov 10, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bassam Youssef

Title

Pharmacist in Charge

Phone

(810) 232-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Discount Pharmacy Elyria Doing business as

Locations

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1679979207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 CLEVELAND ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356143",
            "telephone_number": "440-366-1035",
            "fax_number": "440-366-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 CLEVELAND ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356143",
            "telephone_number": "440-366-1035",
            "fax_number": "440-366-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOUNT PHAMACY ELYRIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "BASSAM",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "810-232-2700"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "022458100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148652",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discount Pharmacy Elyria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Michael Dickerson, CRNA
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• Susan F Dimassa, CRNA
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• Britney Ann Dobroka, CRNA
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• Community/Retail Pharmacy in Elyria, OH
• Providers in Elyria, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.