Provider Demographics
NPI:1487090148
Name:MCALEXANDER, JONATHON JOSEPH (RPH, PHARMD, BSPS)
Entity type:Individual
Prefix:DR
First Name:JONATHON
Middle Name:JOSEPH
Last Name:MCALEXANDER
Suffix:
Gender:M
Credentials:RPH, PHARMD, BSPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2632 FOUR SEASONS DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43207-4646
Mailing Address - Country:US
Mailing Address - Phone:614-736-3282
Mailing Address - Fax:
Practice Address - Street 1:2632 FOUR SEASONS DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43207-4646
Practice Address - Country:US
Practice Address - Phone:614-736-3282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03132165183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist