Organization Active NPI

Maple Leaf Hilltop Pharmacy

  • Community/Retail Pharmacy
  • Columbus, OH
National Provider Identifier
1780961441
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022170700 Issued in OH
Legal business name
MAPLE LEAF HILLTOP PHARMACY
Practice address
2575 W Broad St
Columbus, OH 43204-3333
Phone
(614) 272-8188
Fax
(614) 272-8311
NPI assigned
Nov 9, 2011
Last updated
Nov 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Authorized official

Name
Dr. Joseph A Jerkins, PHARMD
Title
Owner
Phone
(614) 272-6791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 022170700 OH Primary

Addresses

Primary practice location

2575 W Broad St
Columbus, OH 43204-3333

Mailing address

2575 W Broad St
Columbus, OH 43204-3333
Phone (614) 272-8188

Other identifiers 1

IdentifierTypeStateIssuer
022170700OtherOHOHIO STATE BOARD OF PHARMACY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1780961441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432043333",
            "telephone_number": "614-272-8188",
            "fax_number": "614-272-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432043333",
            "telephone_number": "614-272-8188",
            "fax_number": "614-272-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE LEAF HILLTOP PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "JERKINS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-272-6791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "022170700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO STATE BOARD OF PHARMACY",
            "identifier": "022170700",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.