Active NPI
Christian John Jeric
- Pharmacist
- Toledo, OH
National Provider Identifier
1669098497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03334859
- Practice address
- 925 Woodville Rd
Toledo, OH 43605-3060 - Phone
- (419) 693-4086
- NPI assigned
- Jun 17, 2020
- Last updated
- Jun 17, 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 | 183500000X | 03334859 | OH | Primary |
Addresses
Primary practice location
925 Woodville Rd
Toledo, OH 43605-3060
Mailing address
925 Woodville Rd
Toledo, OH 43605-3060
Phone (419) 693-4086
Other practice location 1
15031 Sr 224 E
Findlay, OH 45840-7764
Phone (419) 420-0084
Other practice location 2
1900 W State St
Fremont, OH 43420-1638
Phone (419) 355-9760
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 |
|---|---|---|---|
| 03334859 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592352000000",
"number": "1669098497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 WOODVILLE RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436053060",
"telephone_number": "419-693-4086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 WOODVILLE RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436053060",
"telephone_number": "419-693-4086"
}
],
"practiceLocations": [
{
"address_1": "15031 SR 224 E",
"address_purpose": "LOCATION",
"city": "Findlay",
"state": "OH",
"postal_code": "458407764",
"country_code": "US",
"telephone_number": "419-420-0084",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 W State St",
"address_purpose": "LOCATION",
"city": "Fremont",
"state": "OH",
"postal_code": "434201638",
"country_code": "US",
"telephone_number": "419-355-9760",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JERIC",
"first_name": "CHRISTIAN",
"middle_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-17",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03334859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.