Organization Active NPI

Maple Leaf Group

Doing business as Maple Leaf Pharmacy West

  • Community/Retail Pharmacy
  • Columbus, OH
National Provider Identifier
1871788265
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PMY.021746200-03 Issued in OH
Legal business name
MAPLE LEAF GROUP
Doing business as
Maple Leaf Pharmacy West
Practice address
2575 W Broad St Ste 5
Columbus, OH 43204-3333
Phone
(614) 274-5890
Fax
(614) 274-5899
NPI assigned
Sep 10, 2007
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PMY.021746200-03 OH Primary

Addresses

Primary practice location

2575 W Broad St Ste 5
Columbus, OH 43204-3333

Mailing address

PO Box 27005
Columbus, OH 43227-0005
Phone (614) 274-5890

Other identifiers 2

IdentifierTypeStateIssuer
2772629MedicaidOH
2081077OtherPK

Other names 1

  • MAPLE LEAF PHARMACY WEST 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.

Locations

2575 W Broad St
Ste 5
Columbus, OH 43204
Phone (614) 274-5890

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1871788265",
    "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": "614-274-5890",
            "fax_number": "614-443-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 W BROAD ST STE 5",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432043333",
            "telephone_number": "614-274-5890",
            "fax_number": "614-274-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE LEAF GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2025-09-19",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "PMY.021746200-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2772629",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2081077",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAPLE LEAF PHARMACY WEST",
            "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 Sep 19, 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.