Individual provider Active NPI

Jennifer Blevins, PHARMD, RPH, BCGP

  • Geriatric Pharmacist
  • Columbus, OH
National Provider Identifier
1093311706
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
03228067 Issued in OH
Practice address
4014 Venture CT
Columbus, OH 43228-9600
Phone
(614) 297-8244
Fax
(502) 434-6428
NPI assigned
Dec 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X 03228067 OH Primary

Addresses

Primary practice location

4014 Venture CT
Columbus, OH 43228-9600

Mailing address

5591 Barney Dr
Dublin, OH 43016-3259
Phone (419) 302-6506

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
03228067OHMDGeriatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therpay of Ohio Limited Partnership PastSince Dec 13, 2020 Accepting new patients
Pca-Corrections LLC PastSince Dec 13, 2020 Accepting new patients

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": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1093311706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5591 BARNEY DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430163259",
            "telephone_number": "419-302-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 VENTURE CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432289600",
            "telephone_number": "614-297-8244",
            "fax_number": "502-434-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH, BCGP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "OH",
            "license": "03228067",
            "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 8, 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.