Provider Demographics
NPI:1013938638
Name:CHRIST HOSPITAL
Entity Type:Organization
Organization Name:CHRIST HOSPITAL
Other - Org Name:THE CHRIST HOSPITAL APOTHECARY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:KUEHNE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:513-585-0059
Mailing Address - Street 1:2139 AUBURN AVENUE
Mailing Address - Street 2:SUITE 1005
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219
Mailing Address - Country:US
Mailing Address - Phone:513-585-0059
Mailing Address - Fax:513-585-0529
Practice Address - Street 1:2139 AUBURN AVENUE
Practice Address - Street 2:SUITE 1005
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219
Practice Address - Country:US
Practice Address - Phone:513-585-0059
Practice Address - Fax:513-585-0529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH020986450OtherSTATE LICENSE NUMBER
OH2017909Medicaid
OH3638840OtherNCPDP NUMBER