Dominic Clouse

Primary specialty

PharmacistTaxonomy code 183500000X

License

03331153 Issued in OH

Practice address

Jameson Crane Sports Medicine Institute Pharmacy
2835 Fred Taylor Drive
Columbus, OH 43202

Phone

(614) 366-0099

NPI assigned

Jun 24, 2020

Last updated

Jun 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1699391730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JAMESON CRANE SPORTS MEDICINE INSTITUTE PHARMACY",
            "address_2": "2835 FRED TAYLOR DRIVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JAMESON CRANE SPORTS MEDICINE INSTITUTE PHARMACY",
            "address_2": "2835 FRED TAYLOR DRIVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43202",
            "telephone_number": "614-366-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUSE",
        "first_name": "DOMINIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03331153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Close to Home Health Care and Services
• Alexander Close, MD
• Denise D Close, PA
• Bradley Scott Closson, RN, CRNA
• Katie Elizabeth Clough, BA
• Hannah Clouse, M.S. CCC-SLP
• Stephanie Clouse
• Zack Clouse, PA-C
• Sarah M Clow, LISW
• Colleen Patricia Cloyd, PHARMD, BCPPS

• Pharmacist in Columbus, OH
• Providers in Columbus, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.