Profero Team LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PROFERO TEAM LLC

Practice address

180 E Spring Valley Pike Ste B
Dayton, OH 45458-3803

Phone

(937) 813-4888

NPI assigned

Jul 8, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marc Sweeney, PHARMD

Title

Ceo

Phone

(937) 813-4888

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacey Brooke Rexrode Brewer, PHARMD

  • Pharmacist
  • Dayton, OH
  • NPI 1619146636
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1902539646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 E SPRING VALLEY PIKE STE B",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454583803",
            "telephone_number": "937-813-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E SPRING VALLEY PIKE STE B",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454583803",
            "telephone_number": "937-813-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFERO TEAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-813-4888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Dayton, OH
• Providers in Dayton, OH by specialty
• Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.