Individual provider Active NPI

Christine Anderson Prusa, PHARMD

  • Pharmacist
  • Columbus, OH
National Provider Identifier
1376946525
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03233114 Issued in OH
Practice address
921 Chatham LN Ste 100
Columbus, OH 43221-2418
Phone
(419) 306-9724
NPI assigned
Oct 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03233114 OH Primary

Addresses

Primary practice location

921 Chatham LN Ste 100
Columbus, OH 43221-2418

Mailing address

3925 Alkire Rd
Grove City, OH 43123-1079
Phone (419) 306-9724

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

LicenseStateTypeSpecialty
03233114OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1376946525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 ALKIRE RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431231079",
            "telephone_number": "419-306-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 CHATHAM LN STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212418",
            "telephone_number": "419-306-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUSA",
        "first_name": "CHRISTINE",
        "middle_name": "ANDERSON",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03233114",
            "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 26, 2019; 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.