DEER PARK PHARMACY (NPI# 1962542373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962542373 |
| Entity Type | Organization |
| Organization Name | DEER PARK PHARMACY |
| Practice Address |
4075 E Galbraith Rd Cincinnati OH 45236-2323 |
| Practice Telephone | 5137917958 |
| Practice Fax Number | 5137917541 |
| Mailing Telephone | 5137917958 |
| Mailing Fax Number | 5137917541 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-02-13 |
| Authorized Official Name | MR. STEVEN D RATHMAN (OWNER) |
| Authorized Official Telephone | 5137917958 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
020180400 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 9506663 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEER PARK PHARMACY | 10 Woodland Rd, Saint Helena, CA 94574-9554 |
| Street Address |
4075 E GALBRAITH RD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45236-2323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104366202 | Lo-cal Pharma LLC | Pharmacy | 4075 E Galbraith Rd, Cincinnati, OH 45236-2323 | 2017-03-08 |
| 1194865196 | Steven D Rathman | Pharmacist | 4075 E Galbraith Rd, Cincinnati, OH 45236-2323 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400975 | Kimberly Lorraine Carter | Technician | 3870 Alta Avenue, # 1, Cincinnati, OH 45236 | 2020-06-03 |
| 1548880032 | Manu Jacob George | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-24 |
| 1497384374 | Haider Hussain Shah | Student in an Organized Health Care Education/Training Program | 4777 E. Galbraith Road, The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-03 |
| 1467091868 | Wickshire Deer Park Opco LLC | Assisted Living Facility | 3801 East Galbraith Road, Cincinnati, OH 45236 | 2020-01-02 |
| 1205497633 | Nicholas Theodore D'entremont | Student in an Organized Health Care Education/Training Program | 4777 E. Galbraith Street - Jewish Hospital, Cincinnati, OH 45236 | 2019-06-26 |
| 1407410699 | Atchayaa Gunasekharan | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road, Cincinnati, OH 45236 | 2019-04-24 |
| 1225591043 | Lauren Elizabeth Hamilton | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Rd, Cincinnati, OH 45236 | 2019-04-09 |
| 1972093714 | Hassan Shafique | Student in an Organized Health Care Education/Training Program | 4777 E Galbraith, Cincinnati, OH 45236 | 2018-05-17 |
| 1912494915 | Milica Antic | Student in an Organized Health Care Education/Training Program | The Jewish Hospital, 4777 East Galbraith Rd, Cincinnati, OH 45236 | 2018-04-16 |
| 1376041061 | Angela Eten | Nurse Practitioner | 4700 E Galbraith Rd Ste 301, Cincinnati, OH 45236 | 2018-01-27 |
| Find all providers in zip 45236 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302626 | Uc Healthcare System | Pharmacy | 222 Piedmont Ave Ste 2000, Cincinnati, OH 45219-4231 | 2020-09-25 |
| 1992325567 | The Kroger Co | Pharmacy | 3255 Eden Ave, Suite 336, Cincinnati, OH 45229 | 2020-04-23 |
| 1346884244 | Mercy Health Cincinnati LLC | Pharmacy | 601 Ivy Gtwy, Cincinnati, OH 45245-1898 | 2019-11-04 |
| 1417496621 | Prohealth Drugs LLC | Pharmacy | 5045 Crookshank Rd Ste 100, Cincinnati, OH 45238-3301 | 2017-02-21 |
| 1508226077 | St Vincent De Paul Community Pharmacy of Cincinnati | Pharmacy | 3015 Glenhills Way, Cincinnati, OH 45238-3448 | 2016-02-26 |
| 1710257902 | Clarks Rx LLC | Pharmacy | 9749 Montgomery Rd, Cincinnati, OH 45242-7207 | 2012-01-05 |
| 1730215799 | University of Cincinnati Physicians Company LLC | Pharmacy | 2751 O Varisty Way, Room #335-a, Cincinnati, OH 45221-0010 | 2007-02-26 |
| 1487715470 | Tischbein Pharmacy | Pharmacy | 3500 Erie Ave, Cincinnati, OH 45208-1717 | 2006-12-13 |
| 1255436929 | Rohe Pharmacy Inc. | Pharmacy | 4047 Harrison Ave, Cincinnati, OH 45211-4639 | 2006-09-14 |
| 1720182546 | Ohio Cvs Stores LLC | Pharmacy | 947 Cincinnati Batavia Pike, Cincinnati, OH 45245-1303 | 2006-09-12 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45236 |
Please comment or provide details below to improve the information on DEER PARK PHARMACY.
| 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.