Healthcare Provider Details

I. General information

NPI: 1538801204
Provider Name (Legal Business Name): HEART OF OHIO FAMILY HEALTH CENTERS JAMES B FEIBEL CENTER PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2022
Last Update Date: 09/02/2022
Certification Date: 09/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 E MAIN ST
COLUMBUS OH
43213-2440
US

IV. Provider business mailing address

5000 E MAIN ST
COLUMBUS OH
43213-2440
US

V. Phone/Fax

Practice location:
  • Phone: 614-235-5555
  • Fax: 614-338-6837
Mailing address:
  • Phone: 614-235-5555
  • Fax: 614-536-1994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: M. BUHARI MOHAMMED
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MD
Phone: 614-235-5555