Healthcare Provider Details

I. General information

NPI: 1801349097
Provider Name (Legal Business Name): NICOLE OEHLER CHAMBERLAIN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2016
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6165 GLENWAY AVE
CINCINNATI OH
45211-6338
US

IV. Provider business mailing address

6165 GLENWAY AVE
CINCINNATI OH
45211-6338
US

V. Phone/Fax

Practice location:
  • Phone: 513-719-2420
  • Fax: 513-719-2455
Mailing address:
  • Phone: 513-719-2420
  • Fax: 513-719-2455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number018509
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number26026555A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03135647
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: