Active NPI
Kelsey Lynn Straubhaar, PHARMD
- Pharmacist
- Lakewood, OH
National Provider Identifier
1750767000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH.03334446-3
- Practice address
- 11701 Detroit Ave
Lakewood, OH 44107-3041 - Phone
- (216) 227-0819
- NPI assigned
- Aug 9, 2015
- 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 | RPH.03334446-3 | OH | Primary |
Addresses
Primary practice location
11701 Detroit Ave
Lakewood, OH 44107-3041
Mailing address
16284 Bardbury Ave
Cleveland, OH 44130-5415
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH.03334446-3 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466035200000",
"number": "1750767000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16284 BARDBURY AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441305415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11701 DETROIT AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441073041",
"telephone_number": "216-227-0819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAUBHAAR",
"first_name": "KELSEY",
"middle_name": "LYNN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-09",
"last_updated": "2016-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "RPH.03334446-3",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.