Individual provider Active NPI

Ariela Anise Wagner, RPH

  • Pharmacist
  • Grandview Heights, OH
National Provider Identifier
1417554403
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03439705 Issued in OH
Practice address
895 Yard St
Grandview Heights, OH 43212-3886
Phone
(614) 293-5123
Fax
(614) 293-4890
NPI assigned
Oct 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03439705 OH Primary

Addresses

Primary practice location

895 Yard St
Grandview Heights, OH 43212-3886

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-5123

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
03439705OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Osu General Internal Medicine LLC CurrentSince Oct 1, 2020 Accepting new patients
Osup Community Outreach LLC PastSince Jun 1, 2025 Accepting new patients

Locations

500 W 12th Ave
Columbus, OH 43210
Phone (614) 292-2266

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

895 Yard St
Grandview Heights, OH 43212
Phone (614) 293-7980

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": "1601683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1417554403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-5123",
            "fax_number": "614-293-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 YARD ST",
            "city": "GRANDVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "432123886",
            "telephone_number": "614-293-5123",
            "fax_number": "614-293-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ARIELA",
        "middle_name": "ANISE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03439705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandview Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.