# GOOD SAMARITAN OUTPATIENT PHARMACY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497842991
- **Authorized official:** MR. LEONARD KAES RPH (PHARMACY MANAGER)
- **Authorized official phone:** (513) 872-3550

## Contact information

- **Practice address:** 375 DIXMYTH AVE, CINCINNATI, OH 45220
- **Practice address phone:** (513) 872-1559
- **Practice address fax:** (513) 475-5878
- **Mailing address:** 375 DIXMYTH AVE, CINCINNATI, OH 45220
- **Mailing address phone:** (513) 872-1559
- **Mailing address fax:** (513) 475-5878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 020030650 | OH | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 10/08/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 020030650 | TERMINAL DISTRIBUTER | OH |
| 05 | — | 2312867 | — | OH |
| 01 | — | 3661851 | NCPDP | OH |