Provider Demographics
NPI:1598850216
Name:RAGAJI, NICHOLAS STEPHEN (RPH)
Entity Type:Individual
Prefix:MR
First Name:NICHOLAS
Middle Name:STEPHEN
Last Name:RAGAJI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1730 HICKORY HILL DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-9713
Mailing Address - Country:US
Mailing Address - Phone:614-876-1042
Mailing Address - Fax:614-876-1042
Practice Address - Street 1:1257 W BROAD ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43222-1359
Practice Address - Country:US
Practice Address - Phone:614-276-6636
Practice Address - Fax:614-276-8032
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-09813183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist