Columbus Prescription West LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

COLUMBUS PRESCRIPTION WEST LLC

Doing business as

COLUMBUS PRESCRIPTION WEST LLC

Practice address

2849 W Broad St
Columbus, OH 43204-2643

Phone

(614) 351-0062

Fax

(614) 351-0358

NPI assigned

May 24, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jarrod Grossman, RPL PHARMD

Title

Chief Pharmacist

Phone

(614) 351-0062

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• COLUMBUS PRESCRIPTION WEST LLC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1679576466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2849 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432042643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2849 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432042643",
            "telephone_number": "614-351-0062",
            "fax_number": "614-351-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS PRESCRIPTION WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "JARROD",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "614-351-0062",
        "authorized_official_credential": "RPL PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2503633",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3672931",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3672931",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLUMBUS PRESCRIPTION WEST LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.