Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNIFER S DETTRA RPH
NPI 1033557913
Pharmacist in Columbus, OH

Q: What is Jennifer Dettra's NPI number?

The NPI number for Jennifer Dettra is 1033557913. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Q: What is Jennifer Dettra's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Dettra was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 12, 2013

452 W 10TH AVE, COLUMBUS, OH 43210(614) 293-7677(614) 293-5614 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2026, Apr 24, 2026, Nov 4, 2021 and 1 more (4 updates tracked since 2015).

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About Jennifer S Dettra Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER S DETTRA RPH (NPI 1033557913) is an individual pharmacist in Columbus, Ohio, licensed in Ohio (03129750) and active in the NPI registry since June 2013. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033557913

Entity TypeIndividualFemale

Primary Taxonomy183500000X

Provider Legal NameJENNIFER S DETTRACredential: RPH

Location Address452 W 10TH AVEColumbus, OH 43210-1240

Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-7677 · Fax (614) 293-5614

Phone(614) 293-7677

Fax(614) 293-5614

Sole ProprietorNo

Enumeration DateJune 12, 2013

Last NPPES UpdateJuly 21, 20264 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1033557913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in OH · 03129750

Definition

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.

452 W 10TH AVE, Columbus, OH 43210

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Secondary Practice Locations 2

Location 1543 Taylor AveColumbus, OH 43203-1278 · Phone (614) 293-5123 · Fax (614) 688-6491

Location 21800 Zollinger RdColumbus, OH 43221-2849 · Phone (614) 293-2920 · Fax (614) 293-5167

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KONSTANTINOS D BOUDOULAS M.D.

Internal Medicine (Interventional Cardiology)