Steve Broering
Individual provider Active NPI Pharmacist · Fort Mitchell, KY
NPI 1144688359 · NPPES record last updated Feb 4, 2016
Key facts
- NPI
- 1144688359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 012949 (KY)
- Practice address
- 2150 Dixie Hwy
Fort Mitchell, KY 41017-2902 - Phone
- (859) 331-0078
- NPI assigned
- Feb 2, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012949 | KY | MD | Pharmacist |
| 03326744 | OH | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 012949 | KY | Yes |
| Pharmacist | 183500000X | 03326744 | OH |
Addresses
Primary practice location
2150 Dixie Hwy
Fort Mitchell, KY 41017-2902
Mailing address
2150 Dixie Hwy
Fort Mitchell, KY 41017-2902
Other providers in Fort Mitchell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.