Active NPI
Raymond Edward Galuzny, RPH
- Pharmacist
- Mansfield, OH
National Provider Identifier
1861098022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03310472
- Practice address
- 1411 Lexington Ave
Mansfield, OH 44907-2629 - Phone
- (419) 756-1321
- Fax
- (419) 756-6632
- NPI assigned
- Dec 11, 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 | 03310472 | OH | Primary |
Addresses
Primary practice location
1411 Lexington Ave
Mansfield, OH 44907-2629
Mailing address
1448 Brookpark Dr
Mansfield, OH 44906-3504
Phone (419) 571-9433
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03310472 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio CVS Stores, L.L.C. | Past | Accepting new patients | |
| Ohio CVS Stores LLC | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1861098022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1448 BROOKPARK DR",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449063504",
"telephone_number": "419-571-9433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 LEXINGTON AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449072629",
"telephone_number": "419-756-1321",
"fax_number": "419-756-6632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALUZNY",
"first_name": "RAYMOND",
"middle_name": "EDWARD",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-11",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "OH",
"license": "03310472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.