MAPLE LEAF NEW ROME PHARMACY (NPI# 1912340795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912340795 |
| Entity Type | Organization |
| Organization Name | MAPLE LEAF NEW ROME PHARMACY |
| Practice Address |
5212 W Broad St Columbus OH 43228-1642 |
| Mailing Address |
Po Box 27005 Columbus OH 43227-0005 |
| Practice Telephone | 6148515811 |
| Practice Fax Number | 6148515815 |
| Mailing Telephone | 6142726791 |
| Mailing Fax Number | 6142726826 |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |
| Authorized Official Name | MR. JOSEPH JERKINS (OWNER) |
| Authorized Official Telephone | 6142726791 |
| Authorized Official Credential | PHARM.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
022295450 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | TERMINAL DISBRIBUTOR OF DANGEROUS DRUGS LICENSE | 022295450 | 01 |
| Street Address |
5212 W BROAD ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43228-1642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102225 | Mark Edward Barnhart | Podiatrist | 5212 W Broad St, Columbus, OH 43228-1642 | 2005-05-31 |
| 1447799119 | Monfredi Family Dental LLC | Dentist | 5212 W Broad St, Columbus, OH 43228-1642 | 2017-02-14 |
| 1992255293 | Medical Center West Pharmacy, LLC | Pharmacy | 5212 W Broad St, Columbus, OH 43228-1642 | 2016-10-11 |
| 1649653254 | Michelle Victoria Velazquez | Nurse Practitioner | 5212 W Broad St, Columbus, OH 43228-1642 | 2015-06-30 |
| 1417337460 | Family Practice West, Inc. | Clinic/Center | 5212 W Broad St, Columbus, OH 43228-1642 | 2015-06-04 |
| 1336528470 | Bradley Christopher Moore | Dentist | 5212 W Broad St, Columbus, OH 43228-1642 | 2015-05-21 |
| 1669893756 | West Broad Dental, Sean R Bates Dds, Inc | Dentist | 5212 W Broad St, Columbus, OH 43228-1642 | 2013-12-17 |
| 1992043541 | New Albany Family Foot Care Inc | Podiatrist | 5212 W Broad St, Columbus, OH 43228-1642 | 2013-01-16 |
| 1134482151 | Roseann Morrison | Podiatrist | 5212 W Broad St, Ste F, Columbus, OH 43228-1642 | 2012-06-25 |
| 1871862359 | Karin Elaine Anderson | Nurse Practitioner | 5212 W Broad St, Columbus, OH 43228-1642 | 2011-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694229 | The Laurels of West Columbus, LLC | Skilled Nursing Facility | 441 Norton Rd, Columbus, OH 43228 | 2020-06-19 |
| 1538788146 | Colin Rogers | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-04-14 |
| 1093343899 | Cameron Alvin Gachett | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2020-03-29 |
| 1407483431 | Zachary Werner | Student in an Organized Health Care Education/Training Program | Ohio Health Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-03-27 |
| 1831684232 | Medcare Clinic LLC | Clinic/Center | 4125 W Broad St, Columbus, OH 43228 | 2018-06-27 |
| 1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
| 1619478336 | Charles Norris Fennie | Student in an Organized Health Care Education/Training Program | Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2018-02-27 |
| 1902304389 | Icare Health & Wellness Medical Center, LLC | Counselor | 5152 W.broad St, Suite A, Columbus, OH 43228 | 2018-01-31 |
| 1104334523 | Inner Health Chiropractic, Inc | Chiropractor | 5125 West Broad Street, Inner Health Chiropractic, Columbus, OH 43228 | 2018-01-19 |
| 1205363777 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2182 Dividend Drive, Columbus, OH 43228 | 2017-05-16 |
| Find all providers in zip 43228 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245870864 | Bravo Rx Pharmacy | Pharmacy | 4125 W Broad St # B, Columbus, OH 43228-1600 | 2020-01-11 |
| 1235777350 | Tan Thai Inc | Pharmacy | 4300 Clime Rd Ste 111, Columbus, OH 43228-6491 | 2019-12-19 |
| 1811534829 | Milestone Pharmacy LLC | Pharmacy | 3350 Cleveland Ave # 1946, Columbus, OH 43224-3677 | 2019-12-09 |
| 1467000638 | Hrb Health Solutions | Pharmacy | 5320 E Main St Ste 700, Columbus, OH 43213-2573 | 2019-08-29 |
| 1124683826 | Ohio State University Outpatient Pharmacy | Pharmacy | 181 Taylor Avenue, Room T0354, Columbus, OH 43203-1779 | 2019-05-08 |
| 1790340404 | Ohio State University Outpatient Pharmacy | Pharmacy | 410 W 10th Ave Rm 111, Columbus, OH 43210-1240 | 2019-05-08 |
| 1912488586 | Premierx Pharmacy Inc. | Pharmacy | 4633 Morse Centre Rd, Columbus, OH 43229-6601 | 2018-08-22 |
| 1639663123 | Reachcare Pharmacy Services LLC | Pharmacy | 4513 E Main St, Columbus, OH 43213 | 2018-06-18 |
| 1285125161 | Westerville Road Pharmacy, LLC | Pharmacy | 2709 Westerville Rd, Columbus, OH 43224-4440 | 2018-05-25 |
| 1285158667 | Shiffa Pharmacy | Pharmacy | 2330 Morse Rd Unit D, Columbus, OH 43229-5804 | 2017-07-27 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.