Healthcare Provider Details

I. General information

NPI: 1437683042
Provider Name (Legal Business Name): MATTHEW LEWANDOWSKI RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2017
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7580 BEECHMONT AVE
CINCINNATI OH
45255-4221
US

IV. Provider business mailing address

1287 FERNCLIFF DR
ALEXANDRIA KY
41001-9601
US

V. Phone/Fax

Practice location:
  • Phone: 513-233-4420
  • Fax:
Mailing address:
  • Phone: 440-823-3088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03226443
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03226443
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: