Healthcare Provider Details

I. General information

NPI: 1972440238
Provider Name (Legal Business Name): KARRIANN KYLE WOOD SIMMONS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2787 CHARTER ST
COLUMBUS OH
43228-4607
US

IV. Provider business mailing address

939 ADARA DR
COLUMBUS OH
43240-2152
US

V. Phone/Fax

Practice location:
  • Phone: 614-407-8000
  • Fax:
Mailing address:
  • Phone: 614-420-1704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03324030
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: