Healthcare Provider Details

I. General information

NPI: 1467731372
Provider Name (Legal Business Name): JANE ELLEN WHITWORTH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2011
Last Update Date: 09/11/2025
Certification Date: 02/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5151 PFEIFFER RD STE 350
BLUE ASH OH
45242-4861
US

IV. Provider business mailing address

5151 PFEIFFER RD STE 350
BLUE ASH OH
45242-4861
US

V. Phone/Fax

Practice location:
  • Phone: 949-491-6583
  • Fax: 844-243-3856
Mailing address:
  • Phone: 833-358-2113
  • Fax: 844-243-3856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03127522
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: