Individual provider Active NPI

Jessica Fratino Rushley

  • Pharmacist
  • Perrysburg, OH
National Provider Identifier
1053911610
Registry record updated Oct 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3232543 Issued in OH
Practice address
10392 Fremont Pike
Perrysburg, OH 43551-3335
Phone
(419) 874-0571
Fax
(419) 874-0587
NPI assigned
Oct 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3232543 OH Primary

Addresses

Primary practice location

10392 Fremont Pike
Perrysburg, OH 43551-3335

Mailing address

1849 Kenton TRL
Perrysburg, OH 43551-6340
Phone (614) 329-3934

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

State licenses

LicenseStateTypeSpecialty
3232543OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1604102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604102400000",
    "number": "1053911610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 KENTON TRL",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435516340",
            "telephone_number": "614-329-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10392 FREMONT PIKE",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513335",
            "telephone_number": "419-874-0571",
            "fax_number": "419-874-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSHLEY",
        "first_name": "JESSICA",
        "middle_name": "FRATINO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-31",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "3232543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.