Healthcare Provider Details

I. General information

NPI: 1891567822
Provider Name (Legal Business Name): MARK RYAN MESSER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2023
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 W STATE HWY 22 & 3
MAINEVILLE OH
45039
US

IV. Provider business mailing address

2900 W STATE HWY 22 & 3
MAINEVILLE OH
45039
US

V. Phone/Fax

Practice location:
  • Phone: 513-683-4224
  • Fax: 513-677-6355
Mailing address:
  • Phone: 513-683-4224
  • Fax: 513-677-6355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number3233027
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: