IndividualActive
Jacob Worthington
NPI 1508654245 · Ambulatory Care Pharmacist · Shaker Heights, OH
Provider details
- NPI number
- 1508654245
- Entity type
- Individual
- Primary specialty
- Ambulatory Care PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 03444814 (OH)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
3605 Warrensville Center Rd
Shaker Heights, OH 44122-5203
Phone: (440) 743-3004
Approximate (ZIP-level) locationGet directions
Mailing address
3877 Evelyn Dr
North Olmsted, OH 44070-2134
Registry dates
- Enumerated
- 2025-04-30
- Last updated
- 2025-04-30
- Certified
- 2025-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.