Individual provider Active NPI

Belle E Fontem, DOCTOR OF PHARMACY

  • Pharmacist
  • Columbus, OH
National Provider Identifier
1053945634
Registry record updated Feb 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03438420 Issued in OH
Practice address
4633 Morse Centre Rd
Columbus, OH 43229-6601
Phone
(682) 704-1557
NPI assigned
Feb 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 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 03438420 OH Primary

Addresses

Primary practice location

4633 Morse Centre Rd
Columbus, OH 43229-6601

Mailing address

5402 Mallards Marsh
Columbus, OH 43229-9300
Phone (682) 704-1557

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
03438420OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1582416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582416000000",
    "number": "1053945634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 MALLARDS MARSH",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432299300",
            "telephone_number": "682-704-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 MORSE CENTRE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432296601",
            "telephone_number": "682-704-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTEM",
        "first_name": "BELLE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF PHARMACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-23",
        "last_updated": "2020-02-23",
        "certification_date": "2020-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03438420",
            "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 Feb 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.