Jamie Charton Anderson, RPH

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Newark, OH

NPI 1649944950 · NPPES record last updated Aug 2, 2021

Key facts

NPI
1649944950
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
03-2-17832 (OH)
Practice address
88 McMillen Dr
Newark, OH 43055-1809
Phone
(220) 564-1898
Fax
(220) 564-1899
NPI assigned
Aug 2, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 03-2-17832 OH Yes

Addresses

Primary practice location

88 McMillen Dr
Newark, OH 43055-1809

Mailing address

88 McMillen Dr
Newark, OH 43055-1809
Phone (220) 564-1898

Other identifiers

IdentifierTypeStateIssuer
03-2-17832MedicaidOH

Electronic endpoints

TypeEndpointUseAffiliation
Other URL work

Other providers in Newark, OH

All providers in Newark, OH · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Ohio

Sources for this page

Verify at the official NPI Registry.