Provider Demographics
NPI:1982434759
Name:AMEND, JOSEPH (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:AMEND
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 1:12164 LEBANON RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-1799
Mailing Address - Country:US
Mailing Address - Phone:513-733-4945
Mailing Address - Fax:
Practice Address - Street 1:12164 LEBANON RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241-1799
Practice Address - Country:US
Practice Address - Phone:513-733-4945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY024290183500000X
OH03444213183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist