Active NPI
John Brian Mileti, BSPH
- Pharmacist
- Mentor, OH
National Provider Identifier
1811591613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03-310140
- Practice address
- 7353 Mentor Ave
Mentor, OH 44060-7523 - Phone
- (440) 951-1721
- Fax
- (440) 951-2004
- NPI assigned
- Nov 23, 2020
- Last updated
- Nov 23, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 03-310140 | OH | Primary |
Addresses
Primary practice location
7353 Mentor Ave
Mentor, OH 44060-7523
Mailing address
7353 Mentor Ave
Mentor, OH 44060-7523
Phone (440) 951-1721
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 |
|---|---|---|---|
| 03-310140 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marc Glassman Inc | Past | Accepting new patients | |
| Marc Glassman Inc | 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.
-
- Community/Retail Pharmacy
- Wooster, OH
- NPI 1124590575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1811591613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7353 MENTOR AVE",
"city": "MENTOR",
"state": "OH",
"postal_code": "440607523",
"telephone_number": "440-951-1721",
"fax_number": "440-951-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7353 MENTOR AVE",
"city": "MENTOR",
"state": "OH",
"postal_code": "440607523",
"telephone_number": "440-951-1721",
"fax_number": "440-951-2004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILETI",
"first_name": "JOHN",
"middle_name": "BRIAN",
"credential": "BSPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-23",
"last_updated": "2020-11-23",
"certification_date": "2020-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-310140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.