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NPI Code Detail

MEDICARE: OHIO STATE UNIVERSITY OUTPATIENT PHARMACY

MEDICARE: OHIO STATE UNIVERSITY OUTPATIENT PHARMACY
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
13336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861068405
Entity Type Code : Organization
Provider Name (Legal Business Name) : OHIO STATE UNIVERSITY OUTPATIENT PHARMACY
Provider Business Mailing Address
First Line : 600 ACKERMAN RD STE E1014
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-4500
Country : US
Telephone Number : 614-685-4188
Fax Number : 614-293-7822
Provider Business Practice Location Address
First Line : 6100 N HAMILTON RD RM 1370
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-2062
Country : US
Telephone Number : 614-366-7551
Fax Number : 614-366-7130
Authorized Official
Title or Position : CHIEF PHARMACY OFFICER
Name : DR. TRISHA JORDAN
Credential : PHARMD
Telephone Number : 614-293-8470
Provider Enumeration Date : 06/03/2021
Last Update Date : 02/02/2026

Similar Medicare Providers

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Practice Location Address:
6100 N HAMILTON RD STE 3C
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1093177511 — DR. JOHN ODACKAL M.D.
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Practice Fax:
1497757579 — JEFFREY B MCCLURE MD
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1144202490 — DR. SUSAN C MASSICK MD
Practice Location Address:
6100 N HAMILTON RD
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43081-2062
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1437123635 — RICHARD J. GUMINA M.D.
Practice Location Address:
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1831132653 — ANDREW F HUNDLEY M.D.
Practice Location Address:
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Practice Fax:

Directions to “OHIO STATE UNIVERSITY OUTPATIENT PHARMACY ” Practice Location

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