DR. KELLY BREEN LIDDINGTON (NPI# 1245553551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245553551 |
| Entity Type | Individual |
| Full Name | DR. KELLY BREEN LIDDINGTON |
| Credential | PHARMD |
| Practice Address |
Coners of Route 32 and 23 Cairo NY 12413-0140 |
| Mailing Address |
Po Box 140 Cairo NY 12413-0140 |
| Practice Telephone | 5186222000 |
| Mailing Telephone | 5186222000 |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 054103 | NY | Pharmacy Service Providers |
| Street Address |
CONERS OF ROUTE 32 AND 23 |
| City | CAIRO |
| State | NY |
| Zip Code | 12413-0140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275156135 | Sarah Ruth Brown | Registered Nurse | Cairo- Durham Central School District, 1301 Route 145, Cairo, NY 12413 | 2020-05-26 |
| 1316582448 | Aisia Shackelford | Social Worker | 905 County Building, Cairo, NY 12413 | 2019-11-13 |
| 1265096051 | Claire Adams | Occupational Therapy Assistant | 30 Volunteer Dr., Cairo, NY 12413 | 2019-04-26 |
| 1457851503 | Bonnie Jean Diamond | Registered Nurse | Cairo-durham Central School District, 1301 Route 145, Cairo, NY 12413 | 2018-02-15 |
| 1427567452 | Michael Kenneth Ofosu | Physical Therapist | 227 Main Street, Cairo, NY 12413 | 2017-09-21 |
| 1821543901 | Francesca Daisernia | Licensed Practical Nurse | 905 County Office Building, Greene County Mental Health, Cairo, NY 12413 | 2016-08-18 |
| 1992114359 | Kelly Anne Baxter | Nurse Practitioner | 905 County Office Blg 6, Cairo, NY 12413 | 2014-08-10 |
| 1225351331 | Jennifer M Silk | Pharmacist | 7600 Rt 32, Cairo, NY 12413 | 2010-03-03 |
| 1861644296 | Christopher Charles Connacher | Student in an Organized Health Care Education/Training Program | 905 Greene County Office Building, Greene County Mental Health Center, Cairo, NY 12413 | 2008-10-16 |
| 1326225970 | Joseph James Forno Jr. | Pharmacist | Corners Rt 23 & 32, Cairo, NY 12413 | 2008-01-25 |
| Find all providers in zip 12413 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043602113 | Wayne Herndon | Pharmacist | 1523 Lullwater Cir Se, Cairo, GA 39828-3551 | 2015-02-26 |
| 1124373741 | Crystal Camille Cook | Pharmacist | 496 Us Highway 84 E, Cairo, GA 39828-1647 | 2012-07-19 |
| 1861750457 | Megan Baggett | Pharmacist | 496 Hwy 84 E, Cairo, GA 39828 | 2012-05-02 |
| 1477852176 | Laurance W Neubauer | Pharmacist | 496 Highway 84 East, Cairo, GA 39828 | 2011-03-21 |
| 1083912422 | Martha V Lee | Pharmacist | 4882 Hadley Ferry Rd, Cairo, GA 39828-7203 | 2011-03-09 |
| 1336462795 | Thomas Lee Mcmanus | Pharmacist | 75 Old Farm Ln, Cairo, NY 12413-2717 | 2010-03-12 |
| 1083937783 | Cynthia Ruth Cullen | Pharmacist | Corner of Route 23 & 32, Cairo, NY 12413-0140 | 2010-03-09 |
| 1225351331 | Jennifer M Silk | Pharmacist | 7600 Rt 32, Cairo, NY 12413 | 2010-03-03 |
| 1326225970 | Joseph James Forno Jr. | Pharmacist | Corners Rt 23 & 32, Cairo, NY 12413 | 2008-01-25 |
| 1306965330 | Winston Burnum Brock Jr. | Pharmacist | 496 Hwy 84 East, Rite Aid, Cairo, GA 39828 | 2007-03-29 |
| Find all providers in CAIRO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.