Individual provider Active NPI

Jonathan W Gullett, PHARMD

  • Pharmacist
  • Columbus, OH
National Provider Identifier
1053917872
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03439010 Issued in OH
Practice address
262 Neil Ave Ste 130
Columbus, OH 43215-7319
Phone
(614) 569-4799
NPI assigned
Dec 7, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 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 03439010 OH Primary

Addresses

Primary practice location

262 Neil Ave Ste 130
Columbus, OH 43215-7319

Mailing address

2516 E Livingston Ave
Bexley, OH 43209-2941
Phone (614) 695-9519

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
03439010OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Arena District Pharmacy CurrentSince Dec 13, 2020 Accepting new patients

Locations

262 Neil Ave
Ste 130
Columbus, OH 43215
Phone (614) 360-2800

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1053917872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 E LIVINGSTON AVE",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "432092941",
            "telephone_number": "614-695-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 NEIL AVE STE 130",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432157319",
            "telephone_number": "614-569-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLETT",
        "first_name": "JONATHAN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03439010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 7, 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.