Brent D Phillips, R.PH.
Individual provider Active NPI Pharmacist · Covington, OH
NPI 1902051097 · NPPES record last updated Nov 18, 2008
Key facts
- NPI
- 1902051097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03316875 (OH)
- Practice address
- 8264 W State Route 41
Covington, OH 45318-1248 - Phone
- (937) 473-3333
- NPI assigned
- Nov 18, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 03316875 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Remedi Seniorcare of Ohio LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03316875 | OH | Yes |
Addresses
Primary practice location
8264 W State Route 41
Covington, OH 45318-1248
Mailing address
8264 W State Route 41
Covington, OH 45318-1248
Phone (937) 473-3333
Other providers in Covington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2008. 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.