Active NPI
Aidan Robert Southworth, CPHT
- Pharmacy Technician
- Cleveland, OH
National Provider Identifier
1942881321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- PT00354743
- Practice address
- 8333 Rockside Rd
Cleveland, OH 44125-6134 - Phone
- (216) 369-2200
- Fax
- (216) 369-2201
- NPI assigned
- Apr 18, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | PT00354743 | KY | Primary |
Addresses
Primary practice location
8333 Rockside Rd
Cleveland, OH 44125-6134
Mailing address
1499 N Forbes Rd
Lexington, KY 40511-2013
Phone (859) 314-5044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00354743 | KY | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1942881321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1499 N FORBES RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405112013",
"telephone_number": "859-314-5044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8333 ROCKSIDE RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441256134",
"telephone_number": "216-369-2200",
"fax_number": "216-369-2201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHWORTH",
"first_name": "AIDAN",
"middle_name": "ROBERT",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-18",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "KY",
"license": "PT00354743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.