Jodee Demond, RPH.
Individual provider Active NPI Pharmacist · Waterville, OH
NPI 1952821597 · NPPES record last updated Jun 25, 2017
Key facts
- NPI
- 1952821597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03226190 (OH)
- Practice address
- 8730 Waterville Swanton Rd
Waterville, OH 43566-9726 - Phone
- (419) 878-1040
- Fax
- (419) 878-1042
- NPI assigned
- Jun 25, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03226190 | OH | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03226190 | OH | Yes |
Addresses
Primary practice location
8730 Waterville Swanton Rd
Waterville, OH 43566-9726
Mailing address
753 Kildare LN
Bowling Green, OH 43402-1575
Phone (740) 517-1743
Other providers in Waterville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.