Unknown Individual – Pharmacist, NPI 1013993849

Unknown Individual is a healthcare provider. based in Dayton, Ohio. specializing in Pharmacist. They hold a License No. 03-1-07675 (OH). The NPI Number for Unknown Individual is 1013993849

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1013993849
Phone
(937) 279-0525
Address
4830 SALEM AVE
Deactivation Date
28 April 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Salem Avenue, Central Avenue Historic District, Dayton, Montgomery County, Ohio, 45315, United States

    DAYTON, OH 454161716

    Phone: (937) 279-0525

    Type: Location

  • 380, Edgebrook Drive, Centerville, Montgomery County, Ohio, 45459, United States

    CENTERVILLE, OH 454592148

    Phone: (937) 433-3638

    Fax: (937) 433-0709

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45416)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1013993849.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Pharmacist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Dayton, Ohio as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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