Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073918249 Individual Practitioner Female Practitioner

Jill Otto

Pharmacist • Roswell, GA

Professional Overview & Biography Verified Profile Summary

Jill Otto is a registered healthcare professional specializing in Pharmacist in Roswell, GA. Practice services are available at 2300 HOLCOMB BRIDGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2300 Holcomb Bridge Rd

Roswell, GA 300763481

Telephone 6783527480
Fax 6783527483
Associated Practice Facility / Clinic
🏢 The Kroger Co Facility NPI 1912931726

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Roswell, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
76 Specialists

Practicing in Roswell, GA (8508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-14
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License GA RPH-027290

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License AL 17467

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pharmacist License Number
17467 (AL)

Secondary Practice Locations

7090 Highway 72 W

Huntsville, AL 358061728

Phone: 2567260620

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1750672291

Doctor of Pharmacy (Pharm.D.)

NPI 1770181430

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 14, 2020

Registered at 2300 HOLCOMB BRIDGE RD, ROSWELL, GA 300763481 (Tel: 6783527480)

📍
Updated Business Mailing Address October 14, 2020

Registered at 2300 HOLCOMB BRIDGE RD, ROSWELL, GA 300763481 (Tel: 6783527480)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2020

Pharmacist (License #RPH-027290 in GA)

NPI Profile Active October 29, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2014

Registered at 7090 HIGHWAY 72 W, HUNTSVILLE, AL 358061728 (Tel: 2567260620)

📍
Updated Business Mailing Address October 29, 2014

Registered at 500 PROVIDENCE MAIN ST NW, APT 6306, HUNTSVILLE, AL 358064853

👤
Provider Name / Credentials Updated October 29, 2014

Recorded as JILL OTTO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2014

Pharmacist (License #17467 in AL)

🟢
Initial NPI Registration & Enumeration October 29, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073918249
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2014
Last Update: October 14, 2020
Sole Proprietor: No

Mailing Address

2300 Holcomb Bridge Rd

Roswell, GA 300763481

Phone: 6783527480

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.