Jacob Philip-Reid Deitsch, PHARM.D., BCPS

Primary specialty

PharmacistTaxonomy code 183500000X

License

03233825 Issued in OH

Practice address

2182 Dividend Dr
Columbus, OH 43228

Phone

(844) 386-2472

Fax

(888) 776-5018

NPI assigned

Apr 26, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1952745481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15529 COLLEGE BLVD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2182 DIVIDEND DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43228",
            "telephone_number": "844-386-2472",
            "fax_number": "888-776-5018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4755 South Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436156422",
            "country_code": "US",
            "telephone_number": "800-270-6351 x22200",
            "fax_number": "800-270-6331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEITSCH",
        "first_name": "JACOB",
        "middle_name": "PHILIP-REID",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., BCPS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-26",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "020469",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03233825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Blair Dehoff, R.PH.
• Carrie L Dehoff, M.D.
• Jacqueline Deicher
• Michael Robert Deiters
• Jeffrey Scott Deits, MA, ATC, CSCS, CES,
• Franchesca Maria Dejesus
• Marissa C Dejesus, APRN-CNP
• Marina Dekarchuk, PSYD
• Kalyssa Deken, LPCC
• Genevieve Dekiel, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.