Provider Demographics
NPI:1992066369
Name:PELINI, NANCY ANN (RPH, BCPS, MS)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:ANN
Last Name:PELINI
Suffix:
Gender:F
Credentials:RPH, BCPS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3008 SUNSET DR APT 31A
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1955
Mailing Address - Country:US
Mailing Address - Phone:402-860-6204
Mailing Address - Fax:
Practice Address - Street 1:4890 N HIGH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-1552
Practice Address - Country:US
Practice Address - Phone:614-261-9013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-01
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP1006369183500000X
NE13860183500000X
OH03314315183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist