Unknown Individual – Pharmacist, NPI 1124447636

Unknown Individual is a healthcare provider. based in Waynesville, Ohio. specializing in Pharmacist. They hold a License No. 03112260 (OH). The NPI Number for Unknown Individual is 1124447636

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124447636
Phone
(937) 885-2771
Address
8729 CYPRESS TRL
Deactivation Date
22 February 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

Provider Addresses for Unknown Individual

  • 8729 CYPRESS TRL

    WAYNESVILLE, OH 450688373

    Phone: (937) 885-2771

    Type: Mailing

  • 9352 LEBANON PIKE

    CENTERVILLE, OH 454583843

    Phone: (937) 435-5751

    Fax: (937) 435-5759

    Type: Location

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 45068)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1124447636 for Unknown Individual, then check state licensing separately.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Pharmacist. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Waynesville, Ohio in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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