Individual provider Active NPI

Justin P Friesner, PHARMD

  • Pharmacist
  • Columbus, OH
National Provider Identifier
1487722070
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03-1-27134 Issued in OH
Practice address
1585 Georgesville SQ
Columbus, OH 43228-3777
Phone
(614) 878-1664
Fax
(614) 878-1785
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03-1-27134 OH Primary

Addresses

Primary practice location

1585 Georgesville SQ
Columbus, OH 43228-3777

Mailing address

1477 Wyandotte Rd
Columbus, OH 43212-6704
Phone (740) 503-7191

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487722070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 WYANDOTTE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432126704",
            "telephone_number": "740-503-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 GEORGESVILLE SQ",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432283777",
            "telephone_number": "614-878-1664",
            "fax_number": "614-878-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIESNER",
        "first_name": "JUSTIN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-1-27134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.