Healthcare Provider Details

I. General information

NPI: 1558803080
Provider Name (Legal Business Name): JESSICA RICHARDS HOSGOOD PHARMD, RPH, CGP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2016
Last Update Date: 11/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2510 WINSTON CT N
COLUMBUS OH
43235-2850
US

IV. Provider business mailing address

2510 WINSTON CT N
COLUMBUS OH
43235-2850
US

V. Phone/Fax

Practice location:
  • Phone: 614-562-7534
  • Fax:
Mailing address:
  • Phone: 614-562-7534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH.03329008-3
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberRPH.03329008-3
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH.03329008-3
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: