Active NPI
Kevin S Ditchey
- Pharmacist
- Ravenna, OH
National Provider Identifier
1902422645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03338130
- Practice address
- 144 E Main St
Ravenna, OH 44266-3130 - Phone
- (330) 298-4297
- Fax
- (330) 298-9185
- NPI assigned
- Jun 18, 2020
- 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 | 03338130 | OH | Primary |
Addresses
Primary practice location
144 E Main St
Ravenna, OH 44266-3130
Mailing address
144 E Main St
Ravenna, OH 44266-3130
Phone (330) 298-4297
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 |
|---|---|---|---|
| 03338130 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients |
Locations
144 E Main St
Ravenna, OH 44266
Phone (330) 298-4297
Organizations & group practices 1
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.
-
- Pharmacy
- Ravenna, OH
- NPI 1477728541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592438400000",
"number": "1902422645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 E MAIN ST",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442663130",
"telephone_number": "330-298-4297",
"fax_number": "330-298-9185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 E MAIN ST",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442663130",
"telephone_number": "330-298-4297",
"fax_number": "330-298-9185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITCHEY",
"first_name": "KEVIN",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-18",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03338130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ravenna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.