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Individual provider Active NPI Pharmacist · Reading, OH

NPI 1750985263 · NPPES record last updated Nov 24, 2020

Key facts

NPI
1750985263
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
03439233 (OH)
Practice address
9197 Reading Rd
Reading, OH 45215-3348
Phone
(513) 733-8550
NPI assigned
Nov 24, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
03439233OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio CVS Stores LLC Past
since Nov 29, 2020
Accepting new patients
Ohio CVS Stores, L.L.C. Past
since Nov 29, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03439233 OH Yes

Addresses

Primary practice location

9197 Reading Rd
Reading, OH 45215-3348

Mailing address

9197 Reading Rd
Reading, OH 45215-3348
Phone (513) 733-8550

Other providers in Reading, OH

All providers in Reading, OH · Pharmacist in Ohio

Sources for this page

Verify at the official NPI Registry.