Healthcare Provider Details

I. General information

NPI: 1710407648
Provider Name (Legal Business Name): REGINA MHASKAR RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2017
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
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: 513-782-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03122442
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: