Active NPI
George N Rezk, PH.
- Pharmacist
- Springfield, OH
National Provider Identifier
1811010713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03127606
- Practice address
- 2990 Derr Rd
Springfield, OH 45503-1368 - Phone
- (937) 390-3540
- NPI assigned
- Apr 8, 2007
- 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 | 03127606 | OH | Primary |
Addresses
Primary practice location
2990 Derr Rd
Springfield, OH 45503-1368
Mailing address
137 The Post Rd
Apt C.
Springfield, OH 45503-1067
Phone (937) 244-7383
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03127606 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811010713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 THE POST RD",
"address_2": "APT C.",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455031067",
"telephone_number": "937-244-7383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2990 DERR RD",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455031368",
"telephone_number": "937-390-3540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REZK",
"first_name": "GEORGE",
"middle_name": "N",
"credential": "PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03127606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.