Provider Demographics
NPI:1053914838
Name:RUPAREL, JAYESH (RPH)
Entity type:Individual
Prefix:
First Name:JAYESH
Middle Name:
Last Name:RUPAREL
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 1:4000 HAUCK RD
Mailing Address - Street 2:
Mailing Address - City:SHARONVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45241-1704
Mailing Address - Country:US
Mailing Address - Phone:513-563-0717
Mailing Address - Fax:513-563-0868
Practice Address - Street 1:4000 HAUCK RD
Practice Address - Street 2:
Practice Address - City:SHARONVILLE
Practice Address - State:OH
Practice Address - Zip Code:45241-1704
Practice Address - Country:US
Practice Address - Phone:513-563-0717
Practice Address - Fax:513-563-0868
Is Sole Proprietor?:No
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03325731183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist