Individual provider Active NPI

Jeffrey Aaron Calcamuggio, PHARMD, RPH

  • Pharmacotherapy Pharmacist
  • Toledo, OH
National Provider Identifier
1073335337
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
03443369 Issued in OH
Practice address
1832 Adams St Ste P
Toledo, OH 43604-4428
Phone
(419) 442-0024
Fax
(419) 481-9144
NPI assigned
Oct 28, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 5302415727 MI
Pharmacotherapy Pharmacist 1835P1200X 03443369 OH Primary

Addresses

Primary practice location

1832 Adams St Ste P
Toledo, OH 43604-4428

Mailing address

8066 Deepwood Dr
Sylvania, OH 43560-1052
Phone (567) 277-0110

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5302415727MIMDPharmacotherapy Pharmacist
03443369OHMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Genoa Healthcare LLC CurrentSince Nov 3, 2024 Accepting new patients
Genoa Healthcare LLC PastSince Nov 3, 2024 Accepting new patients

Locations

1832 Adams St
Ste P
Toledo, OH 43604
Phone (419) 442-0024

Organizations & group practices 2

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": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1073335337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8066 DEEPWOOD DR",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435601052",
            "telephone_number": "567-277-0110",
            "fax_number": "567-277-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 ADAMS ST STE P",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436044428",
            "telephone_number": "419-442-0024",
            "fax_number": "419-481-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALCAMUGGIO",
        "first_name": "JEFFREY",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MI",
            "license": "5302415727",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "OH",
            "license": "03443369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.