Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033557913 Individual Practitioner Female Practitioner

Jennifer S Dettra , RPH

Pharmacist • Columbus, OH

Professional Overview & Biography Verified Profile Summary

Jennifer Dettra, RPH is a registered healthcare professional specializing in Pharmacist in Columbus, OH. Practice services are available at 452 W 10TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

452 W 10th Ave

Columbus, OH 432101240

Telephone 6142937677
Fax 6142935614
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Columbus, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
1171 Specialists

Practicing in Columbus, OH (11028 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: 2026-07-21
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License OH 03129750

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.

Secondary Practice Locations

543 Taylor Ave

Columbus, OH 432031278

Phone: 6142935123

1800 Zollinger Rd

Columbus, OH 432212849

Phone: 6142932920

Practice Associates & Co-Workers

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

40 Associated Practitioners
Amy Pietragallo , RN, MSN, ACNP-BC

Nurse Practitioner - Acute Care

NPI 1003172917

Registered Nurse, Master of Science in Nursing, ACNPBC

Julie Warnecke , APRN-CNP

Nurse Practitioner - Family

NPI 1003351339

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Dr. Konstantinos Boudoulas , MD

Internal Medicine - Interventional Cardiology

NPI 1003976507

Doctor of Medicine (M.D.)

Rebecca Perkins , APRNCNP

Nurse Practitioner

NPI 1013313238

Advanced Practice Registered Nurse - Certified Nurse Practitioner

NPI 1013538065

Registered Pharmacist

Dr. Uday Nori , MD

Internal Medicine - Nephrology

NPI 1013923234

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location April 24, 2026

Registered at 452 W 10TH AVE, COLUMBUS, OH 432101240 (Tel: 6142937677)

📍
Updated Business Mailing Address April 24, 2026

Registered at 700 ACKERMAN RD STE 2120, COLUMBUS, OH 432021559 (Tel: 6142937677)

👤
Provider Name / Credentials Updated April 24, 2026

Recorded as JENNIFER DETTRA, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2026

Pharmacist (License #03129750 in OH)

📍
Updated Practice Location November 04, 2021

Registered at 5916 SAPPHIRE CT, GROVE CITY, OH 431238361 (Tel: 7405060112)

📍
Updated Business Mailing Address November 04, 2021

Registered at 5916 SAPPHIRE CT, GROVE CITY, OH 431238361 (Tel: 7405060112)

👤
Provider Name / Credentials Updated November 04, 2021

Recorded as JENNIFER DETTRA, PHARM.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2021

Pharmacist (License #RP0008981 in WV)

NPI Profile Active December 17, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 17, 2015

Registered at 2300 MACCORKLE AVE SE, CHARLESTON, WV 253041045 (Tel: 3043574850)

📍
Updated Business Mailing Address December 17, 2015

Registered at 2313 WASHINGTON ST E APT 2, CHARLESTON, WV 253112322 (Tel: 7405060112)

👤
Provider Name / Credentials Updated December 17, 2015

Recorded as JENNIFER SIMON, PHARM.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2015

Pharmacist (License #03129750 in OH)

🟢
Initial NPI Registration & Enumeration June 12, 2013

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: 1033557913
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2013
Last Update: July 21, 2026
Sole Proprietor: No

Mailing Address

700 Ackerman Rd Ste 2120

Columbus, OH 432021559

Phone: 6142937677

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.