Active NPI
Jennifer Louise Gross, PHARM.D.
- Pharmacist
- New Carlisle, OH
National Provider Identifier
1578812897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3132286
- Practice address
- 564 McAdams Dr
New Carlisle, OH 45344-2501 - Phone
- (937) 849-1366
- NPI assigned
- Aug 31, 2012
- Last updated
- Mar 20, 2013
- Sex
- Female
- 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 | 183500000X | 3132286 | OH | Primary |
Addresses
Primary practice location
564 McAdams Dr
New Carlisle, OH 45344-2501
Mailing address
55 W Schrock Rd
Westerville, OH 43081-3087
Phone (614) 890-8869
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 |
|---|---|---|---|
| 3132286 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Co | Past | Accepting new patients | |
| The Kroger Co | Past | Accepting new patients | |
| Rite Aid of Ohio Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rite Aid Pharmacy 01187
- Community/Retail Pharmacy
- New Carlisle, OH
- NPI 1932121035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363737600000",
"number": "1578812897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 W SCHROCK RD",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430813087",
"telephone_number": "614-890-8869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "564 MCADAMS DR",
"city": "NEW CARLISLE",
"state": "OH",
"postal_code": "453442501",
"telephone_number": "937-849-1366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "JENNIFER",
"middle_name": "LOUISE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-31",
"last_updated": "2013-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "3132286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Carlisle, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.