Healthcare Provider Details

I. General information

NPI: 1699699603
Provider Name (Legal Business Name): JOSHUA BOGGS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 CHATHAM LN STE 100
COLUMBUS OH
43221-2418
US

IV. Provider business mailing address

921 CHATHAM LN STE 100
COLUMBUS OH
43221-2418
US

V. Phone/Fax

Practice location:
  • Phone: 513-782-8400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03445453
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: