Mark Garrey Jellison, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

03-2-13810 Issued in OH

Practice address

371 Ludlow Ave
Cincinnati, OH 45220-2018

Phone

(513) 484-9287

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ohio CVS Stores LLC

  • Pharmacy
  • Cincinnati, OH
  • NPI 1467555128
  NPD (past)
• Ohio CVS Stores, L.L.C.

  • Pharmacy
  • Woodmere, OH
  • NPI 1922736305
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1760464234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 LUDLOW AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202018",
            "telephone_number": "513-484-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 LUDLOW AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202018",
            "telephone_number": "513-484-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELLISON",
        "first_name": "MARK",
        "middle_name": "GARREY",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-2-13810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Fley DPM LLC
• Carl Eric Jeffreys, DMD
• Nichele Denise Jeffries
• Jefinc
• Neha Jeirath, M.D.
• Mubarek Kedir Jemal Sr.
• Sarah Nicole Jemiolo, MD
• Philip Jason Jemison I
• Martha Joanne Jenike, A.T.,C.
• Ashley Nicole Jenk, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.