Organization Active NPI

Maple Leaf Group

Doing business as Maple Leaf Pharmacy Central

  • Community/Retail Pharmacy
  • Columbus, OH
National Provider Identifier
1851586564
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RPT021746150 Issued in OH
Legal business name
MAPLE LEAF GROUP
Doing business as
Maple Leaf Pharmacy Central
Practice address
2343 Cleveland Ave
Columbus, OH 43211-1611
Phone
(614) 261-0004
Fax
(614) 261-1075
NPI assigned
Sep 6, 2007
Last updated
Nov 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Joseph Jerkins, RPH
Title
Owner
Phone
(614) 272-6791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RPT021746150 OH Primary

Addresses

Primary practice location

2343 Cleveland Ave
Columbus, OH 43211-1611

Mailing address

PO Box 27005
Columbus, OH 43227-0005
Phone (614) 301-4526

Other identifiers 1

IdentifierTypeStateIssuer
2081078OtherPK

Other names 1

  • MAPLE LEAF PHARMACY CENTRAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maple Leaf Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1851586564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27005",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432270005",
            "telephone_number": "614-301-4526",
            "fax_number": "614-443-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2343 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432111611",
            "telephone_number": "614-261-0004",
            "fax_number": "614-261-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE LEAF GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "JERKINS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-272-6791",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "RPT021746150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2081078",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAPLE LEAF PHARMACY CENTRAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 26, 2014; 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.