Provider Demographics
NPI:1396044335
Name:STURGEON, AARON MATTHEW (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:MATTHEW
Last Name:STURGEON
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11300 CORNELL PARK DR FL 5
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-1814
Mailing Address - Country:US
Mailing Address - Phone:513-856-5900
Mailing Address - Fax:
Practice Address - Street 1:11300 CORNELL PARK DR FL 5
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-1814
Practice Address - Country:US
Practice Address - Phone:513-867-5050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-16
Last Update Date:2024-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0014214183500000X
KY017442183500000X
ORRPH-0014970183500000X, 1835P0018X
OH03-2-34165183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY017442OtherKENTUCKY STATE BOARD OF PHARMACY
OH03-2-34165OtherOHIO STATE BOARD OF PHARMACY
WVRP0014214OtherWEST VIRGINIA BOARD OF PHARMACY
ORRPH-0014970OtherOREGON STATE BOARD OF PHARMACY