Provider Demographics
NPI:1215745484
Name:HELLMANN, EMILY SUSANN (PHARMD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:SUSANN
Last Name:HELLMANN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:SUSANN
Other - Last Name:BROEG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1694 BIRD RD
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41051-7710
Mailing Address - Country:US
Mailing Address - Phone:859-663-5446
Mailing Address - Fax:
Practice Address - Street 1:1360 DOLWICK DR STE 200
Practice Address - Street 2:
Practice Address - City:ERLANGER
Practice Address - State:KY
Practice Address - Zip Code:41018-3159
Practice Address - Country:US
Practice Address - Phone:859-655-9343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-20
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH032369761835P2201X
KY0192861835P2201X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care