Healthcare Provider Details
I. General information
NPI: 1306778899
Provider Name (Legal Business Name): KAYLIN GIANNAMORE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8353 FAIRWAY DR
COLUMBUS OH
43235-1152
US
IV. Provider business mailing address
8353 FAIRWAY DR
COLUMBUS OH
43235-1152
US
V. Phone/Fax
- Phone: 740-264-8001
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 03230458 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: