Active NPI
John Jolly, PHARMD
- Pharmacist
- Wilmington, OH
National Provider Identifier
1376142331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03331321
- Practice address
- 179 W Locust St
Wilmington, OH 45177-2180 - Phone
- (937) 382-0081
- NPI assigned
- Oct 21, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03331321 | OH | Primary |
Addresses
Primary practice location
179 W Locust St
Wilmington, OH 45177-2180
Mailing address
8859 W Berrysville Rd
Hillsboro, OH 45133-8666
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
| License | State | Type | Specialty |
|---|---|---|---|
| 03331321 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1376142331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8859 W BERRYSVILLE RD",
"city": "HILLSBORO",
"state": "OH",
"postal_code": "451338666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 W LOCUST ST",
"city": "WILMINGTON",
"state": "OH",
"postal_code": "451772180",
"telephone_number": "937-382-0081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOLLY",
"first_name": "JOHN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-21",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03331321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.