Jordan Michael Galluzzo, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

03233605 Issued in OH

Practice address

8215 Colerain Ave
Cincinnati, OH 45239-3922

Phone

(513) 741-4646

Fax

(513) 741-4474

NPI assigned

Nov 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jordan Michael Keysor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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

• Ohio CVS Stores LLC

  • Pharmacy
  • Cincinnati, OH
  • NPI 1174626824
  NPD (past)
• Ohio CVS Stores, L.L.C.

  • Pharmacy
  • Woodmere, OH
  • NPI 1922736305
  NPD (past)

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1013511740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6341 PARKMAN PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452131123",
            "telephone_number": "740-816-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 COLERAIN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452393922",
            "telephone_number": "513-741-4646",
            "fax_number": "513-741-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLUZZO",
        "first_name": "JORDAN",
        "middle_name": "MICHAEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03233605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "KEYSOR",
            "middle_name": "MICHAEL",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Taytiana T Galloway-Thomas
• Dana Marie Galloway, PHARMD
• Jared Galloway
• Kristen Galloway, OTR/L
• Susan Lynn Galloway, PT
• Keely Marie Galluzzo, MSW, LSW
• Christine J Galvano
• John Robert Galvin
• Erini Gamal Nessim Kostandy, MD
• Sarah Gamalele Tiger

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.