Provider Demographics
NPI:1952743171
Name:SCHERPENBERG, ANDREA R (PHARM D)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:R
Last Name:SCHERPENBERG
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5403 N BEND RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-7620
Mailing Address - Country:US
Mailing Address - Phone:513-662-1459
Mailing Address - Fax:513-662-1541
Practice Address - Street 1:3000 MACK RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-5335
Practice Address - Country:US
Practice Address - Phone:513-682-1877
Practice Address - Fax:513-682-1879
Is Sole Proprietor?:No
Enumeration Date:2013-07-30
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY016518183500000X
OH03232798183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist