Donnelly Pharmacy Services Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

021113800 Issued in OH

Legal business name

DONNELLY PHARMACY SERVICES INC

Doing business as

Medicine Shoppe

Practice address

325 Center St
Chardon, OH 44024-1184

Phone

(440) 286-6166

Fax

(440) 285-4789

NPI assigned

Aug 20, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori Donnelly, RPH

Title

Owner Pharmacist

Phone

(440) 286-6166

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• MEDICINE SHOPPE Doing business as

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1760597702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CENTER ST",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241184",
            "telephone_number": "440-286-6166",
            "fax_number": "440-285-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CENTER ST",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241184",
            "telephone_number": "440-286-6166",
            "fax_number": "440-285-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNELLY PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "440-286-6166",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "021113800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3665304",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2092104",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dietetic Associates, Inc.
• Stephanie Dijulius
• Anthony Rocco Dileo
• Elaine Dissauer, RN
• Patrick Divoky
• Lori R Donnelly, PHARM.D., R.PH.
• Elizabeth Lauren Doolittle, LSW
• John Dorsey
• Barbara M Douglas, C.R.N.A.
• Ryan Andrew Doyle, DO

• Community/Retail Pharmacy in Chardon, OH
• Providers in Chardon, 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 Mar 7, 2023; 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.