MAPLE LEAF COMPOUNDING PHARMACY NPI 1578905147

NPI Information

  • NPI: 1578905147
  • Provider Name: MAPLE LEAF COMPOUNDING PHARMACY
  • Classification: Pharmacy - 3336C0004X
  • Specialization: Compounding Pharmacy
  • Entity Type: Organization
  • Address: 2575 W BROAD ST
    COLUMBUS, OH
    ZIP 43204
  • Phone: (614) 272-6791

Map and Directions

Get Directions

NPI Details

MAPLE LEAF COMPOUNDING PHARMACY is a compounding pharmacy pharmacy in Columbus, OH. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. MAPLE LEAF COMPOUNDING PHARMACY NPI is 1578905147. The provider is registered as an organization entity type.

The provider's business location address is:

2575 W BROAD ST
COLUMBUS, OH
ZIP 43204-333
Phone: (614) 272-6791
Fax: (614) 272-6826

The provider's authorized official is Joseph Jerkins .
The authorized official title is Owner/responsible Pharmacist and has the following contact phone number (614) 272-6791.

The enumeration date for this NPI number is 7/24/2013 and was last updated on 7/24/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0004XPharmacyCompounding Pharmacy022325150OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1022325150OTHEROHIOOHIO STATE BOARD OF PHARMACY LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.