Individual provider Active NPI

Gabriel Owusu, PHARMD

  • Pharmacist
  • Dublin, OH
National Provider Identifier
1003410390
Registry record updated Nov 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03337601 Issued in OH
Practice address
305 W Bridge St
Dublin, OH 43017-2124
Phone
(614) 889-6530
NPI assigned
Nov 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03337601 OH Primary

Addresses

Primary practice location

305 W Bridge St
Dublin, OH 43017-2124

Mailing address

7754 Jefferson Run
Blacklick, OH 43004-8059
Phone (347) 592-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
03337601OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gracelove Pharmacy Inc Current Accepting new patients
Gracelove Home Health Services Current Accepting new patients
Ohio CVS Stores LLC PastSince Nov 29, 2020 Accepting new patients
Ohio CVS Stores, L.L.C. PastSince Nov 29, 2020 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606348800000",
    "number": "1003410390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7754 JEFFERSON RUN",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430048059",
            "telephone_number": "347-592-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W BRIDGE ST",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172124",
            "telephone_number": "614-889-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWUSU",
        "first_name": "GABRIEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-26",
        "last_updated": "2020-11-26",
        "certification_date": "2020-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03337601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.