ST VINCENT DE PAUL CHARITABLE PHARMACY


Address: 1125 Bank St, Cincinnati, OH 45214-2130
Phone: 5135628841

ST VINCENT DE PAUL CHARITABLE PHARMACY (NPI# 1528494119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528494119
Entity Type Organization
Organization Name ST VINCENT DE PAUL CHARITABLE PHARMACY
Practice Address 1125 Bank St
Cincinnati
OH 45214-2130
Practice Telephone 5135628841
Practice Fax Number 5133451779
Mailing Telephone 5135628841
Mailing Fax Number 5133451779
Enumeration Date 2013-09-16
Last Update Date 2013-09-16
Authorized Official Name MR. MIKE ESPEL (PHARMACY DIRECTOR)
Authorized Official Telephone 5135628841
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
021609300 OH Ambulatory Health Care Facilities

Office Location

Street Address 1125 BANK ST
City CINCINNATI
State OH
Zip Code 45214-2130

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1275708190 Maria Bernadette Johnson Registered Nurse 708 Derrick Turnbow, Cincinnati, OH 45214 2008-04-23
1144260035 Patti Ann Ellison Nurse Practitioner 1616 Harrison Ave, Adapt for Women and Pathways for Women, Cincinnati, OH 45214 2006-06-08
1962920660 Functional Interplay Therapy, LLC Clinic/Center 2145 Central Parkway, Suite 300, Cincinnati, OH 45214 2017-09-01
1215482732 Carolyn Meder Specialist/Technologist 1555 Central Pkwy, Mercy Health, Cincinnati, OH 45214 2016-08-25
1730329962 Tracey Renee Moore Licensed Practical Nurse 830 Ezzard Charles Dr, Cincinnati, OH 45214 2009-02-27
1568912731 Jraejah Warren Dental Assistant 5234 Woodford, New York, NY 45214-0003 2016-10-11
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1992228142 Center for Addiction Treatment Clinic/Center 834 Ezzard Charles Dr, Cincinnati, OH 45214-2525 2017-07-19
1447550926 Timothy W Smith Do LLC Clinic/Center 289 Northland Blvd, Suite A, Cincinnati, OH 45246-3679 2010-10-29
1013168509 Winton Hills Medical & Health Center Clinic/Center 7005 Reading Rd, Cincinnati, OH 45237 2008-10-02
1255544573 Riverside Medical Center of Pricehill Clinic/Center 979 Enright Ave, Cincinnati, OH 45205-2636 2007-05-07
1306953799 Neighborhood Health Care, Inc. Clinic/Center 2805 Gilbert Ave., Cincinnati, OH 45206-1210 2006-08-23
1912542432 Silver Family Care Center LLC Clinic/Center 752 Waycross Rd Ste 1, Cincinnati, OH 45240-3169 2019-11-07
1740758671 Ourhealth Physician Group, LLC Clinic/Center 220 E 4th St, Cincinnati, OH 45202-4102 2018-11-08
1063914802 Mcgilligan Md, Inc. Clinic/Center 7529 State Rd Ste A, Cincinnati, OH 45255-6410 2018-03-07
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Competitor

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City CINCINNATI
Zip Code 45214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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