Unknown Individual – Pharmacotherapy Pharmacist, NPI 1700875630

Unknown Individual is a healthcare provider. based in Wright patterson afb, Ohio. specializing in Pharmacotherapy Pharmacist. They hold a License No. 03-2-17937 (OH). The NPI Number for Unknown Individual is 1700875630

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1700875630
Phone
(934) 257-9021
Address
4881 SUGAR MAPLE DR
Deactivation Date
18 September 2024
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

  • Wright-Patterson Medical Center, 4881, Sugar Maple Drive, Buckeye Trailer Court, Greene County, Ohio, 45433, United States

    WRIGHT PATTERSON AFB, OH 454335546

    Phone: (934) 257-9021

    Type: Location

  • 1841, Wilene Drive, Knollwood, Beavercreek, Greene County, Ohio, 45432, United States

    BEAVERCREEK, OH 454324020

    Phone: (934) 257-9021

    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.

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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 45433)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1700875630 for Unknown Individual.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Pharmacotherapy Pharmacist. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Wright Patterson Afb, Ohio?
For routing, start with Wright Patterson Afb, Ohio for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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