Gerald Wernke, RPH
Individual provider Active NPI Pharmacist · North Bend, OH
NPI 1194329490 · NPPES record last updated Nov 26, 2020
Key facts
- NPI
- 1194329490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03117394 (OH)
- Practice address
- 3345 Citation LN
North Bend, OH 45052-9727 - Phone
- (513) 941-1154
- NPI assigned
- Nov 26, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03117394 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio CVS Stores LLC | Past | Accepting new patients | |
| Ohio CVS Stores, L.L.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03117394 | OH | Yes |
Addresses
Primary practice location
3345 Citation LN
North Bend, OH 45052-9727
Mailing address
3345 Citation LN
North Bend, OH 45052-9727
Phone (513) 941-1154
Other practice location 1
4110 Harrison Ave
Cheviot, OH 45211-4556
Phone (513) 574-1770
Other providers in North Bend, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2020. 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.