Individual provider Active NPI

Dora Psiakis, RPH

  • Pharmacist
  • Greenfield, OH
National Provider Identifier
1912280397
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03226618 Issued in OH
Practice address
Rite Aid 3466
109 Jefferson St.
Greenfield, OH 45123
Phone
(937) 981-7133
Fax
(937) 473-3000
NPI assigned
Sep 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03226618 OH Primary

Addresses

Primary practice location

Rite Aid 3466
109 Jefferson St.
Greenfield, OH 45123

Mailing address

Rite Aid 3466
109 Jefferson St.
Greenfield, OH 45123
Phone (937) 981-7133

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

LicenseStateTypeSpecialty
03226618OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid CurrentSince May 28, 2023 Accepting new patients
Rite Aid of Ohio Inc PastSince Aug 29, 2021 Accepting new patients
Remedi Seniorcare of Ohio LLC Past Accepting new patients

Locations

109 Jefferson St
Greenfield, OH 45123
Phone (937) 981-7133

Organizations & group practices 3

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": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1912280397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RITE AID 3466",
            "address_2": "109 JEFFERSON ST.",
            "city": "GREENFIELD",
            "state": "OH",
            "postal_code": "45123",
            "telephone_number": "937-981-7133",
            "fax_number": "937-473-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RITE AID 3466",
            "address_2": "109 JEFFERSON ST.",
            "city": "GREENFIELD",
            "state": "OH",
            "postal_code": "45123",
            "telephone_number": "937-981-7133",
            "fax_number": "937-473-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSIAKIS",
        "first_name": "DORA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03226618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.