Individual provider Active NPI

Jared Michael Repas, PHARMD

  • Pharmacist
  • Columbus, OH
National Provider Identifier
1841923786
Registry record updated Apr 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03442060 Issued in OH
Practice address
1177 Polaris Pkwy
Columbus, OH 43240-6000
Phone
(614) 430-2445
NPI assigned
Jul 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03442060 OH Primary

Addresses

Primary practice location

1177 Polaris Pkwy
Columbus, OH 43240-6000

Mailing address

4951 Stratford Pine LN
Dublin, OH 43016-9456
Phone (440) 222-5663

Other practice location 1

500 W 12th Ave
Columbus, OH 43210-1214
Phone (614) 292-2266

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
03442060OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Kroger Co CurrentSince Apr 27, 2025 Accepting new patients
Kroger Co PastSince Apr 20, 2025 Accepting new patients

Locations

1177 Polaris Pkwy
Columbus, OH 43240
Phone (614) 430-2445

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744502400000",
    "number": "1841923786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 STRATFORD PINE LN",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169456",
            "telephone_number": "440-222-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 POLARIS PKWY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432406000",
            "telephone_number": "614-430-2445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101214",
            "country_code": "US",
            "telephone_number": "614-292-2266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REPAS",
        "first_name": "JARED",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-07",
        "last_updated": "2025-04-13",
        "certification_date": "2025-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03442060",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 13, 2025; 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.