Individual provider Active NPI

Joshua Jackson, PHARM.D.

  • Pharmacotherapy Pharmacist
  • Columbus, OH
National Provider Identifier
1033833447
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
03326925 Issued in OH
Practice address
2170 Cheltenham Rd
Columbus, OH 43220-4345
Phone
(614) 314-6350
NPI assigned
Sep 29, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 03326925 OH Primary

Addresses

Primary practice location

2170 Cheltenham Rd
Columbus, OH 43220-4345

Mailing address

2170 Cheltenham Rd
Columbus, OH 43220-4345
Phone (614) 314-6350

Other identifiers 1

IdentifierTypeStateIssuer
0000000000OtherN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Joshua.Jackson@CVS.com

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
03326925OHMDPharmacotherapy Pharmacist

Interoperability endpoints

  • Direct secure messaging: joshua.jackson@cvs.com

NPI Registry JSON

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1033833447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 CHELTENHAM RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432204345",
            "telephone_number": "614-314-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 CHELTENHAM RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432204345",
            "telephone_number": "614-314-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JOSHUA",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "OH",
            "license": "03326925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "0000000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Joshua.Jackson@CVS.com",
            "affiliation": "N",
            "endpointDescription": "CVS email",
            "address_1": "900 Coshocton Ave",
            "city": "Mount Vernon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430501908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.