Healthcare Provider Details

I. General information

NPI: 1841955143
Provider Name (Legal Business Name): CHRISTIAN A HARDY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2021
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2310 FERGUSON RD
CINCINNATI OH
45238-3503
US

IV. Provider business mailing address

3029 VERDIN AVE
CINCINNATI OH
45211-4917
US

V. Phone/Fax

Practice location:
  • Phone: 513-922-8194
  • Fax:
Mailing address:
  • Phone: 502-428-7416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03441404
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number022250
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: