Provider Demographics
NPI:1992597249
Name:CARUSO, JILL K (RPH)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:K
Last Name:CARUSO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:K
Other - Last Name:SWANDERSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:715 RICHLAND MALL
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:OH
Mailing Address - Zip Code:44906-3802
Mailing Address - Country:US
Mailing Address - Phone:567-307-7823
Mailing Address - Fax:
Practice Address - Street 1:715 RICHLAND MALL
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:OH
Practice Address - Zip Code:44906-3802
Practice Address - Country:US
Practice Address - Phone:567-307-7823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH032261841835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist