MEDICARE: DR. JONATHAN TERRY PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	023282	KY
2	183500000X	Pharmacist	03334829	OH
3	183500000X	Pharmacist	26026060A	IN

General Provider Information

NPI Number	:	1861859530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN TERRY PHARMD

Provider Business Mailing Address
First Line	:	3195 GEIER DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45209-5009
Country	:	US
Telephone Number	:	513-458-2410
Fax Number	:	513-458-2465

Provider Business Practice Location Address
First Line	:	3195 GEIER DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45209-5009
Country	:	US
Telephone Number	:	513-458-2410
Fax Number	:	513-458-2465

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2016
Last Update Date	:	03/14/2026

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Directions to “ DR. JONATHAN TERRY PHARMD” Practice Location

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