1073133401 NPI number — THOMAS P CALLAHAN RPH

Table of content: THOMAS P CALLAHAN RPH (NPI 1073133401)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073133401 NPI number — THOMAS P CALLAHAN RPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CALLAHAN
Provider First Name:
THOMAS
Provider Middle Name:
P
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RPH
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073133401
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/09/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
424 WARDS CORNER RD STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOVELAND
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45140-6966
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-576-7700
Provider Business Mailing Address Fax Number:
513-576-1020

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6535 CHARLES SNIDER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GOSHEN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45140-9588
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-707-4960
Provider Business Practice Location Address Fax Number:
513-707-4961
Provider Enumeration Date:
04/27/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  03214006-2 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0440564 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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