Individual provider Active NPI

Ian Flores, RPH

  • Pharmacist
  • Lebanon, OH
National Provider Identifier
1972118255
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03323849 Issued in OH
Practice address
118 W Main St Ste D
Lebanon, OH 45036-2098
Phone
(513) 228-1800
NPI assigned
Sep 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03323849 OH Primary

Addresses

Primary practice location

118 W Main St Ste D
Lebanon, OH 45036-2098

Mailing address

799 Mohawk St
Columbus, OH 43206-2112
Phone (614) 579-2674

Other practice location 1

19 N Maysville Ave
Zanesville, OH 43701-6110
Phone (740) 455-8845

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
03323849OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kratzer Pharmacy Inc. CurrentSince Dec 27, 2020 Accepting new patients
Kratzer Pharmacy Inc. PastSince Dec 27, 2020 Accepting new patients
Care Equip, LLC PastSince Sep 1, 2020 Accepting new patients
Careequip LLC PastSince Sep 1, 2020 Accepting new patients

Locations

118 W Main St
Ste D
Lebanon, OH 45036
Phone (513) 228-1800

Organizations & group practices 4

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": "1599955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1972118255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 MOHAWK ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432062112",
            "telephone_number": "614-579-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W MAIN ST STE D",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450362098",
            "telephone_number": "513-228-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 N Maysville Ave",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437016110",
            "country_code": "US",
            "telephone_number": "740-455-8845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "IAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-13",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03323849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OH

Sources for this page

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

Verify at the official NPI Registry.