Individual provider Active NPI

Dawn Rachelle Trame, RPH

  • Pharmacist
  • Tipp City, OH
National Provider Identifier
1912590183
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03218091 Issued in OH
Practice address
1920 Donn Davis Way
Tipp City, OH 45371-7313
Phone
(937) 761-2606
Fax
(937) 761-2607
NPI assigned
Feb 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03218091 OH Primary

Addresses

Primary practice location

1920 Donn Davis Way
Tipp City, OH 45371-7313

Mailing address

13081 W State Route 29
Conover, OH 45317-9668
Phone (937) 441-1142

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
03218091OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Compounding LLC CurrentSince May 28, 2023 Accepting new patients

Locations

1920 Donn Davis Way
Tipp City, OH 45371
Phone (937) 761-2606

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.

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1912590183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13081 W STATE ROUTE 29",
            "city": "CONOVER",
            "state": "OH",
            "postal_code": "453179668",
            "telephone_number": "937-441-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 DONN DAVIS WAY",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453717313",
            "telephone_number": "937-761-2606",
            "fax_number": "937-761-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAME",
        "first_name": "DAWN",
        "middle_name": "RACHELLE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03218091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tipp City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.