Healthcare Provider Details

I. General information

NPI: 1265817324
Provider Name (Legal Business Name): KATELYN EILEEN JOHNSON PHARMD, MS, BCACP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2015
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7580 BEECHMONT AVE
CINCINNATI OH
45255-4221
US

IV. Provider business mailing address

7580 BEECHMONT AVE
CINCINNATI OH
45255-4221
US

V. Phone/Fax

Practice location:
  • Phone: 513-233-4420
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03334550
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number017777
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: