Provider Demographics
NPI:1558803080
Name:HOSGOOD, JESSICA RICHARDS (PHARMD, RPH, CGP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:RICHARDS
Last Name:HOSGOOD
Suffix:
Gender:F
Credentials:PHARMD, RPH, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 WINSTON CT N
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-2850
Mailing Address - Country:US
Mailing Address - Phone:614-562-7534
Mailing Address - Fax:
Practice Address - Street 1:2510 WINSTON CT N
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-2850
Practice Address - Country:US
Practice Address - Phone:614-562-7534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-15
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRPH.03329008-3183500000X, 1835G0303X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric
No183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist