MEDICARE: MR. DAVID MATTHEW BLACK RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03117446	OH

General Provider Information

NPI Number	:	1255614137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID MATTHEW BLACK RPH

Provider Business Mailing Address
First Line	:	6901 MIAMI AVE
Second Line	:
City	:	MADEIRA
State	:	OH
Zip	:	45243-2632
Country	:	US
Telephone Number	:	513-272-3409
Fax Number	:

Provider Business Practice Location Address
First Line	:	6901 MIAMI AVE
Second Line	:
City	:	MADEIRA
State	:	OH
Zip	:	45243-2632
Country	:	US
Telephone Number	:	513-272-3409
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2011
Last Update Date	:	09/27/2011

Similar Medicare Providers

1881609808 — WALGREEN CO
Practice Location Address:

6901 MIAMI AVE
MADEIRA, OH
45243-2632

Practice Phone: 513-272-3409
Practice Fax:

1225468820 — DR. JESSICA WOODS PHARMD
Practice Location Address:

6901 MIAMI AVE
MADEIRA, OH
45243-2632

Practice Phone: 513-272-3409
Practice Fax:

1528671518 — VINCENT PICKENS CPHT
Practice Location Address:

6901 MIAMI AVE
MADEIRA, OH
45243-2632

Practice Phone: 513-272-3409
Practice Fax:

1871534834 — HEARTLAND OF MADEIRA OH LLC
Practice Location Address:

5970 KENWOOD RD
MADEIRA, OH
45243-2930

Practice Phone: 513-561-4111
Practice Fax: 513-561-1496

1811921612 — KROGER LIMITED PARTNERSHIP I
Practice Location Address:

6950 MIAMI AVE
MADEIRA, OH
45243-2633

Practice Phone: 513-271-1360
Practice Fax: 513-271-4021

1235228529 — DR. FREDERICK A HEISELMAN DDS
Practice Location Address:

7140 MIAMI AVE , STE. 201
MADEIRA, OH
45243-2676

Practice Phone: 513-561-8600
Practice Fax: 513-561-8602

Directions to “ MR. DAVID MATTHEW BLACK RPH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.