Provider Demographics
NPI:1801521497
Name:VOGEL, RICHARD CHARLES III (PHARMD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:CHARLES
Last Name:VOGEL
Suffix:III
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1081 ALTAVIA AVE
Mailing Address - Street 2:
Mailing Address - City:PARK HILLS
Mailing Address - State:KY
Mailing Address - Zip Code:41011-1926
Mailing Address - Country:US
Mailing Address - Phone:513-325-8088
Mailing Address - Fax:
Practice Address - Street 1:525 ALEXANDRIA PIKE STE 100
Practice Address - Street 2:
Practice Address - City:SOUTHGATE
Practice Address - State:KY
Practice Address - Zip Code:41071-3243
Practice Address - Country:US
Practice Address - Phone:888-795-5826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-19
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP9914183500000X
KS1-116869183500000X
LAPST.024244183500000X
MD28430183500000X
MI5302414154183500000X
COPHA.0023452183500000X
GARPH032563183500000X
AL22401183500000X
AZS025775183500000X
ARPD16161183500000X
MST-100563183500000X
MO2021041263183500000X
NE17435183500000X
NV22130183500000X
KY020144183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist