Active NPI
Jodi L Ludwick, RPH
- Pharmacist
- Ontario, OH
National Provider Identifier
1639135981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03-3-25112
- Practice address
- 1049 W 4TH St
Ontario, OH 44906-1945 - Phone
- (419) 529-6001
- Fax
- (419) 529-9743
- NPI assigned
- Apr 25, 2006
- Last updated
- Nov 23, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 012862 | KY | |
| Pharmacist | 183500000X | 37930 | SC | |
| Pharmacist | 183500000X | 03-3-25112 | OH | Primary |
Addresses
Primary practice location
1049 W 4TH St
Ontario, OH 44906-1945
Mailing address
1049 W 4TH St
Ontario, OH 44906-1945
Phone (419) 529-6001
Other practice location 1
359 N Lexington Springmill Rd
Ontario, OH 44906-3808
Phone (419) 529-2487
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012862 | KY | MD | Pharmacist |
| 37930 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio CVS Stores LLC | Past | Accepting new patients | |
| Ohio CVS Stores, L.L.C. | 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": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1639135981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1049 W 4TH ST",
"city": "ONTARIO",
"state": "OH",
"postal_code": "449061945",
"telephone_number": "419-529-6001",
"fax_number": "419-529-9743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 W 4TH ST",
"city": "ONTARIO",
"state": "OH",
"postal_code": "449061945",
"telephone_number": "419-529-6001",
"fax_number": "419-529-9743"
}
],
"practiceLocations": [
{
"address_1": "359 N Lexington Springmill Rd",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "OH",
"postal_code": "449063808",
"country_code": "US",
"telephone_number": "419-529-2487",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUDWICK",
"first_name": "JODI",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2020-11-23",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "012862",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "37930",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-3-25112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.