MEDICARE: DR. JARED MICHAEL REPAS PHARMD

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	03442060	OH

General Provider Information

NPI Number	:	1841923786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JARED MICHAEL REPAS PHARMD

Provider Business Mailing Address
First Line	:	4951 STRATFORD PINE LN
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43016-9456
Country	:	US
Telephone Number	:	440-222-5663
Fax Number	:

Provider Business Practice Location Address
First Line	:	1177 POLARIS PKWY
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43240-6000
Country	:	US
Telephone Number	:	614-430-2445
Fax Number	:

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

Provider Enumeration Date	:	07/07/2022
Last Update Date	:	04/13/2025

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