NPIMap

Organization Active NPI

Ohio State University Outpatient Pharmacy

Doing business as The Ohio State University Outpatient Pharmacy - East Hospital

  • Community/Retail Pharmacy
  • Columbus, OH
National Provider Identifier
1124683826
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
OHIO STATE UNIVERSITY OUTPATIENT PHARMACY
Doing business as
The Ohio State University Outpatient Pharmacy - East Hospital
Practice address
181 Taylor Avenue
Columbus, OH 43203-1779
Phone
(614) 257-2628
Fax
(614) 257-3377
NPI assigned
May 8, 2019
Last updated
Feb 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
Dr. Trisha Jordan, PHARMD
Title
Chief Pharmacy Officer
Phone
(614) 293-8470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

181 Taylor Avenue
Columbus, OH 43203-1779

Mailing address

600 Ackerman Rd # E1014
Columbus, OH 43202-4500
Phone (614) 685-4188

Other identifiers 1

IdentifierTypeStateIssuer
0356703MedicaidOH

Other names 1

  • The Ohio State University Outpatient Pharmacy - East Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201203002939 OH DME Supplier - Pharmacy 8729391909 Practice locations: Columbus, OH
O20210929003776 OH Part B Supplier - Mass Immunization (Roster Biller Only) 8729391909 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbus, OH; Dublin, OH

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ohio State University Outpatient PH181 Taylor Ave, Columbus, OH 43203-1779(614) 257-2628 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs Accepts assignmentParticipating since Jul 16, 2015

National Provider Directory

National Provider Directory
Tax ID family
Ohio State University Out8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Ohio State University

    dba OSU Traumatic Brain Injury Network

    • Substance Use Disorder Rehabilitation Clinic/Center
    • Columbus, OH
    • NPI 1730133729

    Member Of

    NPD member

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1124683826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ACKERMAN RD # E1014",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432024500",
            "telephone_number": "614-685-4188",
            "fax_number": "614-293-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 TAYLOR AVENUE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432031779",
            "telephone_number": "614-257-2628",
            "fax_number": "614-257-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO STATE UNIVERSITY OUTPATIENT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "614-293-8470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0356703",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Ohio State University Outpatient Pharmacy - East Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Ohio State University Outpatient Pharmacy - East Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.