MEDICARE: MAPLE LEAF GROUP

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	3336C0003X	Community/Retail Pharmacy	RPT021746150	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2081078	OTHER		PK

General Provider Information

NPI Number	:	1851586564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAPLE LEAF GROUP

Provider Business Mailing Address
First Line	:	PO BOX 27005
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43227-0005
Country	:	US
Telephone Number	:	614-301-4526
Fax Number	:	614-443-1020

Provider Business Practice Location Address
First Line	:	2343 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43211-1611
Country	:	US
Telephone Number	:	614-261-0004
Fax Number	:	614-261-1075

Authorized Official
Title or Position	:	OWNER
Name	:	JOSEPH JERKINS
Credential	:	RPH
Telephone Number	:	614-272-6791

Provider Enumeration Date	:	09/06/2007
Last Update Date	:	11/26/2014

Similar Medicare Providers

1326041898 — HEALTHMED PHARMACY
Practice Location Address:

2343 CLEVELAND AVE
COLUMBUS, OH
43211-1611

Practice Phone: 614-263-5052
Practice Fax: 614-263-6775

1801265889 — THOMPSONS NEIGHBORHOOD PHARMACY LLC
Practice Location Address:

2343 CLEVELAND AVE
COLUMBUS, OH
43211-1611

Practice Phone: 614-388-8088
Practice Fax: 614-388-8089

1407341597 — NOBEL DENTAL,JAGAN SHARMA,DDS,LLC
Practice Location Address:

2345 CLEVELAND AVE
COLUMBUS, OH
43211-1611

Practice Phone: 414-885-7777
Practice Fax:

1508513946 — MARCUS FARREL ANTHONY RPH
Practice Location Address:

2343 CLEVELAND AVE
COLUMBUS, OH
43211-1611

Practice Phone: 614-388-8088
Practice Fax: 614-732-5840

1811090277 — OHIO CVS STORES LLC
Practice Location Address:

759 NEIL AVE
COLUMBUS, OH
43215-1611

Practice Phone: 614-224-9275
Practice Fax:

1417136870 — SMALL SMILES DENTAL CENTER OF WEST COLUMBUS, LLC
Practice Location Address:

4666 W BROAD ST
COLUMBUS, OH
43228-1611

Practice Phone: 614-851-0409
Practice Fax:

Directions to “MAPLE LEAF GROUP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.