Healthcare Provider Details

I. General information

NPI: 1295579274
Provider Name (Legal Business Name): CLAIRE ABIGAIL LEVI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2024
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11310 CORNELL PARK DR
BLUE ASH OH
45242-1814
US

IV. Provider business mailing address

11310 CORNELL PARK DR
BLUE ASH OH
45242-1814
US

V. Phone/Fax

Practice location:
  • Phone: 513-782-3450
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number024468
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number26030745A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03444329
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: