Ceuticare

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

03-1-10924 Issued in OH

Legal business name

CEUTICARE

Practice address

7619 Olympic Pkwy
Sylvania, OH 43560-4309

Phone

(614) 506-8128

NPI assigned

May 20, 2007

Last updated

Aug 22, 2020By 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

Dr. Allen Nichol, PHARM.D.

Title

Vice President

Phone

(614) 506-8128

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760690986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7619 OLYMPIC PKWY",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435604309",
            "telephone_number": "614-506-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7619 OLYMPIC PKWY",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435604309",
            "telephone_number": "614-506-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEUTICARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICHOL",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "614-506-8128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "OH",
            "license": "03-1-10924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacotherapy Pharmacist in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Pharmacotherapy Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.