Active NPI
Trey Lee Tietz, PHARMD
- Pharmacist
- Niles, OH
National Provider Identifier
1851671416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03233509-2
- Practice address
- 5555 Youngstown Warren Rd
Niles, OH 44446-4804 - Phone
- (330) 505-9463
- NPI assigned
- Aug 26, 2011
- Last updated
- Jun 23, 2014
- 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 | 03233509-2 | OH | Primary |
Addresses
Primary practice location
5555 Youngstown Warren Rd
Niles, OH 44446-4804
Mailing address
5555 Youngstown Warren Rd
Niles, OH 44446-4804
Phone (330) 505-9463
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 |
|---|---|---|---|
| 03233509-2 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1851671416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 YOUNGSTOWN WARREN RD",
"city": "NILES",
"state": "OH",
"postal_code": "444464804",
"telephone_number": "330-505-9463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 YOUNGSTOWN WARREN RD",
"city": "NILES",
"state": "OH",
"postal_code": "444464804",
"telephone_number": "330-505-9463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIETZ",
"first_name": "TREY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-26",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03233509-2",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niles, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.