Healthcare Provider Details

I. General information

NPI: 1194988592
Provider Name (Legal Business Name): EMILY BELLEBAUM VRONTOS RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2008
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

543 TAYLOR AVE FL 2
COLUMBUS OH
43203-1278
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-5123
  • Fax: 614-293-4980
Mailing address:
  • Phone: 614-293-5123
  • Fax: 614-293-4980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number012097
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03129622-1
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: