Active NPI
Robert Edward Dorrell, BS, PHARMACY
- Pharmacist
- Toledo, OH
National Provider Identifier
1740572122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03312195
- Practice address
- 1012 W. Sylvania Ave
Toledo, OH 43612 - Phone
- (419) 478-8177
- NPI assigned
- May 4, 2011
- Last updated
- May 4, 2011
- 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 | 03312195 | OH | Primary |
Addresses
Primary practice location
1012 W. Sylvania Ave
Toledo, OH 43612
Mailing address
1012 W Sylvania Ave
Toledo, OH 43612-1702
Phone (419) 478-8177
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03312195 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lane Drug Co | Past | Accepting new patients | |
| Lane Drug Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304467200000",
"number": "1740572122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 W SYLVANIA AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436121702",
"telephone_number": "419-478-8177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 W. SYLVANIA AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43612",
"telephone_number": "419-478-8177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORRELL",
"first_name": "ROBERT",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "BS, PHARMACY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-04",
"last_updated": "2011-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03312195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.