Healthcare Provider Details

I. General information

NPI: 1508797853
Provider Name (Legal Business Name): JASMINE FORD PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7855 TYLERSVILLE RD
WEST CHESTER OH
45069-2510
US

IV. Provider business mailing address

9375 CLOCKTOWER SQ UNIT 416
WEST CHESTER OH
45069-6693
US

V. Phone/Fax

Practice location:
  • Phone: 513-777-7393
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03443954
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number024089
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: