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

Last updated

Nov 23, 2020By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ohio CVS Stores LLC

  dba CVS Pharmacy #06107

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

  dba CVS Pharmacy #17878

  • 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.