Active NPI
Jennifer L Richardson, PHARMD, BCPS, CACP
- Pharmacotherapy Pharmacist
- Toledo, OH
National Provider Identifier
1457624504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 03223395
- Practice address
- 3404 W. Sylvania Avenue
Mercy St. Anne Hospital
Toledo, OH 43623 - Phone
- (419) 407-2118
- Fax
- (419) 407-3824
- NPI assigned
- Feb 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 03223395 | OH | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | PS49909 | FL |
Addresses
Primary practice location
3404 W. Sylvania Avenue
Mercy St. Anne Hospital
Toledo, OH 43623
Mailing address
3404 W. Sylvania Ave
Mercy St. Anne Hospital
Toledo, OH 43623
Phone (419) 407-2118
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 |
|---|---|---|---|
| PS49909 | FL | MD | Pharmacotherapy Pharmacist |
| 03223395 | OH | MD | Pharmacotherapy Pharmacist |
Interoperability endpoints
- jrichardson77795@direct.bsmhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412726400000",
"number": "1457624504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3404 W. SYLVANIA AVE",
"address_2": "MERCY ST. ANNE HOSPITAL",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43623",
"telephone_number": "419-407-2118",
"fax_number": "419-407-3824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3404 W. SYLVANIA AVENUE",
"address_2": "MERCY ST. ANNE HOSPITAL",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43623",
"telephone_number": "419-407-2118",
"fax_number": "419-407-3824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "PHARMD, BCPS, CACP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-21",
"last_updated": "2014-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "OH",
"license": "03223395",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "FL",
"license": "PS49909",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.