Unknown Individual – Pharmacist, NPI 1902881618
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2010-10-20. Reason: Felony conviction relating to controlled substance (mandatory; min. 5 years).
Pharmacist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
950, Paxton Lake Drive, Paxton Lake, Loveland, Miami Township, Clermont County, Ohio, 45140, United States
LOVELAND, OH 451406706
Phone: (513) 677-5058
Type: Mailing
Ridgeway Pavilion, Goodman Street, Avondale, Cincinnati, Hamilton County, Ohio, 45267, United States
CINCINNATI, OH 452241004
Phone: (513) 729-3800
Fax: (513) 729-0383
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45140)
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