Active NPI
Elise King
- Long Term Care Pharmacy
- Dayton, OH
National Provider Identifier
1720655509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Practice address
- 922 Senate Dr
Dayton, OH 45459-4017 - Phone
- (937) 610-3051
- Fax
- (937) 610-3048
- NPI assigned
- Jun 9, 2021
- Last updated
- Jan 30, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
922 Senate Dr
Dayton, OH 45459-4017
Mailing address
922 Senate Dr
Dayton, OH 45459-4017
Phone (937) 610-3051
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarks RX LLC | Long Term Care Pharmacy | Current | Accepting new patients |
| Pennsylvania CVS Pharmacy, L.L.C. | Long Term Care Pharmacy | Past | Accepting new patients |
| Pennsylvania CVS Pharmacy, L.L.C. | Long Term Care Pharmacy | Past | Accepting new patients |
Locations
922 Senate Dr
Dayton, OH 45459
Phone (937) 610-3051
Organizations & group practices 3
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.
-
dba Independent RX Long Term Care
- Long Term Care Pharmacy
- Centerville, OH
- NPI 1154574010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1720655509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 SENATE DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454594017",
"telephone_number": "937-610-3051",
"fax_number": "937-610-3048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 SENATE DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454594017",
"telephone_number": "937-610-3051",
"fax_number": "937-610-3048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "ELISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-09",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.