Healthcare Provider Details

I. General information

NPI: 1881280352
Provider Name (Legal Business Name): DAVID E LITTLE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2020
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 HILL RD N
PICKERINGTON OH
43147-8659
US

IV. Provider business mailing address

318 ASHLEY LN
WEST JEFFERSON OH
43162-1490
US

V. Phone/Fax

Practice location:
  • Phone: 614-866-7076
  • Fax:
Mailing address:
  • Phone: 740-869-3858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03117469
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: