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NPI Code Detail

MEDICARE: KATELYN EILEEN JOHNSON PHARMD, MS, BCACP

MEDICARE: KATELYN EILEEN JOHNSON PHARMD, MS, BCACP
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist03334550OH
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist017777KY

General Provider Information

NPI Number : 1265817324
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN EILEEN JOHNSON PHARMD, MS, BCACP
Provider Business Mailing Address
First Line : 7580 BEECHMONT AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45255-4221
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7580 BEECHMONT AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45255-4221
Country : US
Telephone Number : 513-233-4420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2015
Last Update Date : 06/04/2026

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