KATHLEEN DIETRICH (NPI# 1508225681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508225681 |
| Entity Type | Individual |
| Full Name | KATHLEEN DIETRICH |
| Credential | PHARMD |
| Practice Address |
1700 Declaration Dr Independence KY 41051-8441 |
| Practice Telephone | 8598981620 |
| Practice Fax Number | 8594481221 |
| Mailing Telephone | 8598981620 |
| Mailing Fax Number | 8594481221 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 03232646-2 | OH | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 016456 | KY | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
03232646-2 | OH | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
016456 | KY | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 375 Crossroads Boulevard, Cold Springs, KY 41076 | 8594481220 | 8594481221 |
| Street Address |
1700 DECLARATION DR |
| City | INDEPENDENCE |
| State | KY |
| Zip Code | 41051-8441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700810546 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 1700 Declaration Dr, Independence, KY 41051-8441 | 2006-07-10 |
| 1255955118 | Ashley Marie Estepp | Pharmacist | 1700 Declaration Dr, Independence, KY 41051-8441 | 2020-06-05 |
| 1992358774 | Jennifer Marie Taylor | Nurse Practitioner | 1700 Declaration Dr, Independence, KY 41051-8441 | 2019-07-19 |
| 1538637731 | Andrea Brunacini | Nurse Practitioner | 1700 Declaration Dr, Independence, KY 41051-8441 | 2018-11-06 |
| 1295193837 | Brian Wesselman | Pharmacist | 1700 Declaration Dr, Independence, KY 41051-8441 | 2016-02-09 |
| 1477910974 | Heidi Hayes | Pharmacist | 1700 Declaration Dr, Independence, KY 41051-8441 | 2016-01-28 |
| 1205293172 | Kristen Bell | Pharmacist | 1700 Declaration Dr, Independence, KY 41051-8441 | 2016-01-24 |
| 1427442722 | Michelle Flynn | Pharmacist | 1700 Declaration Dr, Independence, KY 41051-8441 | 2015-03-25 |
| 1578956884 | Kiosk Medicine of Kentucky LLC | Nurse Practitioner | 1700 Declaration Dr, Independence, KY 41051 | 2015-03-11 |
| 1548541659 | Jason Mayes | Pharmacist | 1700 Declaration Dr, Independence, KY 41051-7931 | 2011-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738741 | Tina Hacker | Counselor | Crossroads Treatment Centers, 1974 Walton Nicholson Rd, Independence, KY 41051 | 2020-10-26 |
| 1942844972 | Shelby Cuellar | Chiropractor | 2051 Centennial Boulevard, Independence, KY 41051 | 2019-11-02 |
| 1811246242 | Independence Chiropractic, Inc. | Chiropractor | 1922 Walton Nichoolson Road, Independence, KY 41051 | 2012-08-30 |
| 1356627269 | Nina Carmen Brock | Home Health | 593 Berlander Dr, Independence, KY 41051 | 2011-10-25 |
| 1508000951 | Independence Urgent Care LLC | Clinic/Center | 2025 Declaration Drive, Independence, KY 41051 | 2009-04-29 |
| 1710009436 | Ashley Joseph Moser | Dentist | 2047 Centennial Blvd, Independence, KY 41051 | 2007-04-04 |
| 1558497388 | Occupational Health Centers of The Southwest, P.a., P.s.c. | Clinic/Center | 10110 Toebben Drive, Enterprise V Park, Independence, KY 41051 | 2007-02-26 |
| 1982758736 | Janice Ann Struckhoff | Dentist | 1986 Walton Nicholson Pike, Independence, KY 41051 | 2007-01-22 |
| 1265509061 | Regency Manor LLC | Assisted Living Facility | 11725 Madison Pike, Independence, KY 41051 | 2006-11-29 |
| 1588629463 | John Franklin Allnutt | Family Medicine | 5290 Madison Pike, Ste 100, Independence, KY 41051 | 2006-04-20 |
| Find all providers in zip 41051 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255955118 | Ashley Marie Estepp | Pharmacist | 1700 Declaration Dr, Independence, KY 41051-8441 | 2020-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417528 | Monica Ann Elswick | Pharmacist | 4913 Carriage Pass Pl, Louisville, KY 40299-6638 | 2020-11-02 |
| 1053910976 | Cathy Ramsey Quarles | Pharmacist | 205 Clifty Dr, Frankfort, KY 40601-9500 | 2020-10-21 |
| 1972101434 | Shannon Michelle Brown | Pharmacist | 350 Us 31w Byp, Bowling Green, KY 42101-1770 | 2020-10-15 |
| 1790397081 | Ryan Babb | Pharmacist | 740 S Limestone J-134, Lexington, KY 40536-0001 | 2020-08-19 |
| 1821608415 | Taylor Douglas | Pharmacist | 470 Garrad Rd, Tollesboro, KY 41189-8653 | 2020-08-07 |
| 1255956405 | Alka Herald | Pharmacist | 1417 Glenview Dr, Lexington, KY 40514-2209 | 2020-06-13 |
| 1679198071 | Sharon Lynn Nations | Pharmacist | 540 Jett Drive, Pharmacy, Jackson, KY 41339-9622 | 2020-06-11 |
| 1134743248 | Donna Rene Burgess | Pharmacist | Uk Bluegrass Care Clinic 740 S Limestone L504, Lexington, KY 40536-0001 | 2020-06-04 |
| 1417580069 | Amy Remendado Cordero | Pharmacist | 1661 Bypass Rd, Winchester, KY 40391-2715 | 2020-02-21 |
| 1568095909 | Martha Ford | Pharmacist | 375 Crossroads Boulevard, Cold Spring, KY 41076 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 41051 |
Please comment or provide details below to improve the information on KATHLEEN DIETRICH.
| 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.