JONATHAN PHELPS (NPI# 1760873434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760873434 |
| Entity Type | Individual |
| Full Name | JONATHAN PHELPS |
| Practice Address |
400 Corwin Nixon Blvd South Lebanon OH 45065-1196 |
| Practice Telephone | 5134940701 |
| Practice Fax Number | 5134940711 |
| Mailing Telephone | 5134940701 |
| Mailing Fax Number | 5134940711 |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | J5D98M9 | OH | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346693777 | Jonathan Phelps | Pharmacist | 5200 Nw 43rd St, Ste 401, Gainesville, FL 32606-4484 | 2016-07-20 |
| Street Address |
400 CORWIN NIXON BLVD |
| City | SOUTH LEBANON |
| State | OH |
| Zip Code | 45065-1196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952547390 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 400 Corwin Nixon Blvd, South Lebanon, OH 45065-1196 | 2009-01-06 |
| 1366813131 | Christine Elizabeth Lilly | Pharmacy Technician | 400 Corwin Nixon Blvd, South Lebanon, OH 45065-1196 | 2015-10-19 |
| 1144593351 | Rebecca Herren | Pharmacist | 400 Corwin Nixon Blvd, South Lebanon, OH 45065-1196 | 2012-02-17 |
| 1588950380 | Michelle Nicole Rogers | Pharmacist | 400 Corwin Nixon Blvd, Target Pharmacy Store Number T2486, South Lebanon, OH 45065-1196 | 2011-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841897097 | Lifecare Home Health Agency | Home Health | 4580 Kibbey Ln, South Lebanon, OH 45065-1043 | 2020-10-01 |
| 1912504614 | Irene Konadu Yiadom | Registered Nurse | 4580 Kibbey Ln, South Lebanon, OH 45065-1043 | 2020-10-06 |
| 1932706868 | Festus Okoh Okai | Pharmacist | 4580 Kibbey Ln, South Lebanon, OH 45065-1043 | 2020-10-05 |
| 1609100908 | Brandi J Raycheck | Audiologist | 3569 N Section Ext, South Lebanon, OH 45065-1169 | 2009-09-21 |
| 1255740197 | Orthocincy | Orthopaedic Surgery | 440 Corwin Nixon Blvd, South Lebanon, OH 45065-1196 | 2014-08-05 |
| 1730183518 | Shaun C Tubbs | Physical Therapist | 440 Corwin Nixon Blvd Ste S, South Lebanon, OH 45065-1196 | 2005-06-09 |
| 1992310940 | Stephanie L Nazario | Physical Therapist | 440 Corwin Nixon Blvd, South Lebanon, OH 45065-1196 | 2020-09-15 |
| 1184183360 | Mary Mccormick | Physical Therapist | 440 Corwin Nixon Blvd, South Lebanon, OH 45065-1196 | 2019-03-18 |
| 1518430636 | Robert James Boyd | Physical Therapist | 440 Corwin Nixon Blvd, South Lebanon, OH 45065-1196 | 2019-01-11 |
| 1811923451 | Union Township Trustees | Ambulance | 285 E Pike St, South Lebanon, OH 45065-1238 | 2006-06-24 |
| Find all providers in zip 45065 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366813131 | Christine Elizabeth Lilly | Pharmacy Technician | 400 Corwin Nixon Blvd, South Lebanon, OH 45065-1196 | 2015-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770109241 | Jami Nell Dean | Pharmacy Technician | 4768 State Route 775, Proctorville, OH 45669-8900 | 2020-06-22 |
| 1063034031 | John Beba | Pharmacy Technician | 9211 Euclid Avenue, Cleveland, OH 44195-0001 | 2020-05-13 |
| 1972149151 | Krystal Dixon | Pharmacy Technician | 5569 Shady Oak St, Huber Heights, OH 45424-4266 | 2019-11-21 |
| 1558915959 | Kelly Przybysz | Pharmacy Technician | 3961 Dalling Dr, Northwood, OH 43619-2030 | 2019-07-25 |
| 1447728415 | Solutions Care Pharmacy | Pharmacy Technician | 3891-3893 Great Southern Court, Columbus, OH 43207-4003 | 2018-11-08 |
| 1801311022 | Greg Volmer | Pharmacy Technician | 3050 Mack Rd Ste 330, Fairfield, OH 45014-5381 | 2017-08-09 |
| 1942732649 | Teresa Vamos | Pharmacy Technician | 5318 Bennett Rd, Toledo, OH 43612-3404 | 2017-03-31 |
| 1154860922 | Stephan Hester | Pharmacy Technician | 707 11th St Nw, Canton, OH 44703-3326 | 2017-02-14 |
| 1679029417 | Heather Marlow | Pharmacy Technician | 5300 Executive Blvd, Huber Heights, OH 45424 | 2016-08-31 |
| 1942657135 | Marilyn Turner | Pharmacy Technician | 2991 St Rt 160, Gallipolis, OH 45631-8441 | 2016-05-18 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH LEBANON |
| Zip Code | 45065 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.