Healthcare Provider Details

I. General information

NPI: 1407179997
Provider Name (Legal Business Name): GREGORY HELENTJARIS PHARMD, RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2010
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 SCIOTO ST
URBANA OH
43078-2179
US

IV. Provider business mailing address

3420 ATRIUM BLVD STE 102
MIDDLETOWN OH
45005-5186
US

V. Phone/Fax

Practice location:
  • Phone: 937-653-3914
  • Fax:
Mailing address:
  • Phone: 513-318-1188
  • Fax: 513-318-1189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03212514
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: