Unknown Individual – Pharmacist, NPI 1790809838

Unknown Individual is a healthcare provider. based in Olmsted falls, Ohio. specializing in Pharmacist. They hold a License No. 03-1-12269 (OH). The NPI Number for Unknown Individual is 1790809838

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790809838
Phone
(440) 235-4519
Address
26762 MANGROVE LN
Deactivation Date
1 January 2026
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

Provider Addresses for Unknown Individual

  • 26762 MANGROVE LN

    OLMSTED FALLS, OH 441382536

    Phone: (440) 235-4519

    Fax: (440) 816-6073

    Type: Mailing

  • 18697 BAGLEY RD

    CLEVELAND, OH 441303417

    Phone: (440) 816-8788

    Fax: (440) 816-6073

    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 44138)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1790809838 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Pharmacist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Ohio?
You will see Olmsted Falls, Ohio on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1790809838. Always confirm identity and privileges with the practice and licensing boards.

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