Healthcare Provider Details

I. General information

NPI: 1588239404
Provider Name (Legal Business Name): NEIL EDWARD ERNST PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2021
Last Update Date: 05/24/2021
Certification Date: 05/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 GOODMAN ST
CINCINNATI OH
45219-2364
US

IV. Provider business mailing address

3626 S HOPPER RIDGE RD
CINCINNATI OH
45255-5062
US

V. Phone/Fax

Practice location:
  • Phone: 513-548-6116
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number03226245
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: