Provider Demographics
NPI:1295017119
Name:ORNELLA, NICHOLAS GENE (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:NICHOLAS
Middle Name:GENE
Last Name:ORNELLA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 E MEHRING WAY
Mailing Address - Street 2:UNIT 2305
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-3557
Mailing Address - Country:US
Mailing Address - Phone:513-203-0910
Mailing Address - Fax:
Practice Address - Street 1:1776 SEYMOUR AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-3012
Practice Address - Country:US
Practice Address - Phone:513-351-3931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03129639183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist