Healthcare Provider Details

I. General information

NPI: 1003219577
Provider Name (Legal Business Name): ALEXA SEVIN VALENTINO PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXA SEVIN PHARMD

II. Dates (important events)

Enumeration Date: 09/29/2014
Last Update Date: 10/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3433 AGLER RD STE 2800
COLUMBUS OH
43219
US

IV. Provider business mailing address

2780 AIRPORT DR STE 100
COLUMBUS OH
43219-2289
US

V. Phone/Fax

Practice location:
  • Phone: 614-645-5500
  • Fax: 614-645-1347
Mailing address:
  • Phone: 614-859-1900
  • Fax: 614-645-5517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number03132146
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03132146
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: