Neil Jesko

Primary specialty

PharmacistTaxonomy code 183500000X

License

03337641 Issued in OH

Practice address

5881 Som Center Rd
Willoughby, OH 44094-3036

Phone

(440) 946-4357

Fax

(440) 946-5329

NPI assigned

Aug 12, 2020

Reactivated

Aug 21, 2020

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1548871668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 SOM CENTER RD",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440943036",
            "telephone_number": "440-946-4357",
            "fax_number": "440-946-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 SOM CENTER RD",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440943036",
            "telephone_number": "440-946-4357",
            "fax_number": "440-946-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESKO",
        "first_name": "NEIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-12",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-19",
        "deactivation_date": "2020-08-12",
        "reactivation_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03337641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Walgreens.com",
            "affiliation": "Y",
            "endpointDescription": "Walgreens",
            "address_1": "5881 Som Center Rd",
            "city": "Willoughby",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440943036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacist in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.