Active NPI
Jeff Iserman
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Maumee, OH
National Provider Identifier
1619576345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 03122210
- Practice address
- 1435 Reynolds Rd
Maumee, OH 43537-1625 - Phone
- (567) 302-2689
- NPI assigned
- Oct 23, 2020
- Last updated
- Oct 23, 2020
- 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 | 03122210 | OH | Primary |
Addresses
Primary practice location
1435 Reynolds Rd
Maumee, OH 43537-1625
Mailing address
746 Whisperlake Rd
Holland, OH 43528-7879
Phone (419) 342-5578
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 |
|---|---|---|---|
| 03122210 | OH | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Co | Past | Accepting new patients | |
| The Kroger Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1619576345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "746 WHISPERLAKE RD",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435287879",
"telephone_number": "419-342-5578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1435 REYNOLDS RD",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371625",
"telephone_number": "567-302-2689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISERMAN",
"first_name": "JEFF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-23",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OH",
"license": "03122210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maumee, OH
- Independence Health LLC (Independence Health Employer Services LLC)
- Innovative Wound Solutions LLC
- Inspiring Wellness LLC
- Integrated Restorative Solutions LLC
- Irb Medical Equipment LLC (Hart Medical Equipment)
- Mahjabeen Islam, M.D.
- Bouthyna Issa
- Nadia Jackson, RBT
- Hany J Jacob, MD
- Jada Anesthesia LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.