Healthcare Provider Details

I. General information

NPI: 1093605024
Provider Name (Legal Business Name): AUSTIN YEARY PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2025
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2139 AUBURN AVE
CINCINNATI OH
45219-2906
US

IV. Provider business mailing address

2142 GLENSIDE AVE
NORWOOD OH
45212-1140
US

V. Phone/Fax

Practice location:
  • Phone: 513-585-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03445477
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: