Individual provider Active NPI

Jennifer E Bommarito

  • Pharmacist
  • Westerville, OH
National Provider Identifier
1386308666
Registry record updated Oct 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03230518 Issued in OH
Practice address
650 N State St
Westerville, OH 43082-9083
Phone
(614) 865-0487
Fax
(614) 865-0686
NPI assigned
Oct 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03230518 OH Primary

Addresses

Primary practice location

650 N State St
Westerville, OH 43082-9083

Mailing address

650 N State St
Westerville, OH 43082-9083
Phone (614) 865-0487

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

State licenses

LicenseStateTypeSpecialty
03230518OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Tamarkin Company PastSince Oct 31, 2021 Accepting new patients
The Tamarkin Company PastSince Oct 31, 2021 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": "1635033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635033600000",
    "number": "1386308666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N STATE ST",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430829083",
            "telephone_number": "614-865-0487",
            "fax_number": "614-865-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N STATE ST",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430829083",
            "telephone_number": "614-865-0487",
            "fax_number": "614-865-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMMARITO",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-24",
        "last_updated": "2021-10-24",
        "certification_date": "2021-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03230518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2021; 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.