Provider Demographics
NPI:1851922793
Name:HAMPTON, JONATHAN COREY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:COREY
Last Name:HAMPTON
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 1:428 OXFORD STATE RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45044-7434
Mailing Address - Country:US
Mailing Address - Phone:513-423-7097
Mailing Address - Fax:513-423-7337
Practice Address - Street 1:428 OXFORD STATE RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-7434
Practice Address - Country:US
Practice Address - Phone:513-423-7097
Practice Address - Fax:513-423-7337
Is Sole Proprietor?:No
Enumeration Date:2020-01-29
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL60552183500000X
OH03438387183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist