Maple Leaf Comm Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

Legal business name

MAPLE LEAF COMM PHARMACY

Practice address

3433 Agler Rd
Suite 1500
Columbus, OH 43219-3387

Phone

(614) 239-7560

Fax

(614) 239-7946

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Jerkins

Title

Owner

Phone

(614) 239-7560

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• maple leaf home health care Other name

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003942673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 AGLER RD",
            "address_2": "SUITE 1500",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193387",
            "telephone_number": "614-239-7560",
            "fax_number": "614-239-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 AGLER RD",
            "address_2": "SUITE 1500",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193387",
            "telephone_number": "614-239-7560",
            "fax_number": "614-239-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE LEAF COMM PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JERKINS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-239-7560",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2278379",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "maple leaf home health care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pharmacist in Columbus, OH
• Providers in Columbus, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.