Healthcare Provider Details

I. General information

NPI: 1396044335
Provider Name (Legal Business Name): AARON MATTHEW STURGEON PHARM.D., RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2011
Last Update Date: 08/10/2024
Certification Date: 08/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11300 CORNELL PARK DR FL 5
BLUE ASH OH
45242-1814
US

IV. Provider business mailing address

11300 CORNELL PARK DR FL 5
BLUE ASH OH
45242-1814
US

V. Phone/Fax

Practice location:
  • Phone: 513-867-5050
  • Fax:
Mailing address:
  • Phone: 513-856-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP0014214
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number017442
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH-0014970
License Number StateOR
# 4
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH-0014970
License Number StateOR
# 5
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03-2-34165
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: