Active NPI
Mitsue Riley
- Pharmacist
- Delaware, OH
National Provider Identifier
1689104663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03120991
- Practice address
- 1840 Columbus Pike
Delaware, OH 43015-2728 - Phone
- (740) 363-0035
- Fax
- (740) 363-7643
- NPI assigned
- Jun 13, 2017
- Sex
- Female
- 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 | 03120991 | OH | Primary |
Addresses
Primary practice location
1840 Columbus Pike
Delaware, OH 43015-2728
Mailing address
1840 Columbus Pike
Delaware, OH 43015-2728
Phone (740) 363-0035
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 |
|---|---|---|---|
| 03120991 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kroger Co | Current | Accepting new patients | |
| Kroger Co | Past | Accepting new patients |
Locations
1840 Columbus Pike
Delaware, OH 43015
Phone (740) 363-0035
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Delaware, OH
- NPI 1295769990
-
- Community/Retail Pharmacy
- Bethlehem, GA
- NPI 1154294205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1689104663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 COLUMBUS PIKE",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430152728",
"telephone_number": "740-363-0035",
"fax_number": "740-363-7643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 COLUMBUS PIKE",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430152728",
"telephone_number": "740-363-0035",
"fax_number": "740-363-7643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "MITSUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03120991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delaware, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.