Healthcare Provider Details

I. General information

NPI: 1891632279
Provider Name (Legal Business Name): CALE STEVENS RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12164 LEBANON RD
CINCINNATI OH
45241-1799
US

IV. Provider business mailing address

12164 LEBANON RD
CINCINNATI OH
45241-1799
US

V. Phone/Fax

Practice location:
  • Phone: 513-733-4945
  • Fax: 513-733-5058
Mailing address:
  • Phone: 513-733-4945
  • Fax: 513-733-5058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03443241
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: