Healthcare Provider Details

I. General information

NPI: 1700794690
Provider Name (Legal Business Name): NAHOM A OFGA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 HILL RD N
PICKERINGTON OH
43147-8887
US

IV. Provider business mailing address

1101 HILL RD N
PICKERINGTON OH
43147-8887
US

V. Phone/Fax

Practice location:
  • Phone: 614-751-1736
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03447238
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: