Active NPI
Jamie Light
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Cleveland, OH
National Provider Identifier
1477125789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 03440822
- Practice address
- 4400 Euclid Ave
Cleveland, OH 44103-3734 - Phone
- (216) 325-9355
- NPI assigned
- Jul 15, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 03440822 | OH | Primary |
Addresses
Primary practice location
4400 Euclid Ave
Cleveland, OH 44103-3734
Mailing address
4400 Euclid Ave
Cleveland, OH 44103-3734
Phone (216) 325-9355
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
| License | State | Type | Specialty |
|---|---|---|---|
| 03440822 | OH | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626307200000",
"number": "1477125789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441033734",
"telephone_number": "216-325-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441033734",
"telephone_number": "216-325-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGHT",
"first_name": "JAMIE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-15",
"last_updated": "2021-07-15",
"certification_date": "2021-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OH",
"license": "03440822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.