Jill E Bogard, RPH
Individual provider Active NPI Pharmacist · Tiffin, OH
NPI 1417246752 · NPPES record last updated Apr 6, 2011
Key facts
- NPI
- 1417246752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03114950 (OH)
- Practice address
- 530 W Market St
Tiffin, OH 44883-2610 - Phone
- (419) 443-0189
- NPI assigned
- Apr 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03114950 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Ohio Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03114950 | OH | Yes |
Addresses
Primary practice location
530 W Market St
Tiffin, OH 44883-2610
Mailing address
8432 Township Highway 104
Upper Sandusky, OH 43351-9341
Phone (419) 294-5235
Other providers in Tiffin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.