Jill Diane Bonham

Primary specialty

PharmacistTaxonomy code 183500000X

License

03120493 Issued in OH

Practice address

3061 Kingsdale Ctr
Columbus, OH 43221-2009

Phone

(614) 538-0801

Fax

(614) 538-0825

NPI assigned

Nov 15, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1013673979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 KINGSDALE CTR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212009",
            "telephone_number": "614-538-0801",
            "fax_number": "614-538-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3061 KINGSDALE CTR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212009",
            "telephone_number": "614-538-0801",
            "fax_number": "614-538-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONHAM",
        "first_name": "JILL",
        "middle_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03120493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamisha Bonds
• Yvette Boney-Woodall, RN
• Mackenzie Bonfiglio, LSW
• Isatta Bongay
• Edwin Forrest Bonham Jr., ATC, LAT
• Kyle Andrew Bonham
• Rachel L Bonier, D.O.
• Thomas Sesti Boniface, M.D.
• Flavio Fernando Bonilla, MD, MS
• Ellen K Bonk, M.A.,CCC-SLP

• 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 Nov 15, 2021; 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.