MEDICARE: JONATHAN WESTMEYER RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03236411	OH

General Provider Information

NPI Number	:	1619593415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN WESTMEYER RPH

Provider Business Mailing Address
First Line	:	13949 EDGEWATER DR
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-1415
Country	:	US
Telephone Number	:	216-538-3740
Fax Number	:

Provider Business Practice Location Address
First Line	:	14815 MADISON AVE
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-4009
Country	:	US
Telephone Number	:	216-221-5898
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2020
Last Update Date	:	06/18/2020

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