Provider Demographics
NPI:1225633001
Name:HAMMOND, JOHN LEROY JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:LEROY
Last Name:HAMMOND
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:358 YALE AVE
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-7112
Mailing Address - Country:US
Mailing Address - Phone:440-323-1255
Mailing Address - Fax:440-366-5494
Practice Address - Street 1:443 CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-4062
Practice Address - Country:US
Practice Address - Phone:440-365-7162
Practice Address - Fax:440-366-5494
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03310049183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist