Provider Demographics
NPI:1366041386
Name:MCNEAR, CADY
Entity Type:Individual
Prefix:
First Name:CADY
Middle Name:
Last Name:MCNEAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8613 DARNELL AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-1621
Mailing Address - Country:US
Mailing Address - Phone:513-646-4412
Mailing Address - Fax:
Practice Address - Street 1:5100 TERRA FIRMA DR
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-8087
Practice Address - Country:US
Practice Address - Phone:513-229-5920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03439707183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist