KELLI CHANTAY DIXON (NPI# 1578193546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578193546 |
Entity Type | Individual |
Full Name | KELLI CHANTAY DIXON |
Practice Address |
1187 N Highway 27 Whitley City KY 42653-4084 |
Mailing Address |
426 Joe Lewis Rd Somerset KY 42503-4249 |
Practice Telephone | 6063762911 |
Practice Fax Number | 6063762913 |
Enumeration Date | 2020-01-18 |
Last Update Date | 2020-01-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
014137 | KY | Pharmacy Service Providers |
Street Address |
1187 N HIGHWAY 27 |
City | WHITLEY CITY |
State | KY |
Zip Code | 42653-4084 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225448368 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 1187 N Highway 27, Whitley City, KY 42653-4084 | 2014-04-29 |
1659970606 | Martha Suzanne Hawks | Pharmacist | 1187 N Highway 27, Whitley City, KY 42653-4084 | 2020-10-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407472319 | Family Health Care Associates 7 Limited Liability Company | Clinic/Center | 422 N Highway 27, Whitley City, KY 42653 | 2020-06-17 |
1912423435 | Eric Shannon Polston | Pharmacist | 43 Medical Lane, Whitley City, KY 42653 | 2017-08-16 |
1588187884 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 500 N Hwy 27, Whitley City, KY 42653 | 2017-07-19 |
1912324609 | Dustin Hamlin | Nurse Practitioner | 1570 N. Us 27, Whitley City, KY 42653 | 2014-03-20 |
1548529159 | Amy Mlynn Strunk | Developmental Therapist | 10 Tobby Lane, Whitley City, KY 42653 | 2012-05-16 |
1275810616 | Wcps LLC | Durable Medical Equipment & Medical Supplies | 66 Center Ave, Whitley City, KY 42653 | 2011-11-14 |
1083905152 | Johnny Lynn Cowell | Pharmacist | 500 North Hwy 27, Whitley City, KY 42653 | 2011-04-25 |
1073802146 | Yhp2 LLC | Pharmacist | 1187 North Highway 27, Whitley City, KY 42653 | 2011-03-29 |
1760701635 | South Creek Eye Center Psc | Ophthalmology | 551 N Hwy. 27, Whitley City, KY 42653 | 2010-05-18 |
1134452014 | Quest Community Services, Inc | Case Management | 2901 North Hwy 1651, Whitley City, KY 42653 | 2009-09-10 |
Find all providers in zip 42653 |
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 |
---|---|---|---|---|
1659970606 | Martha Suzanne Hawks | Pharmacist | 1187 N Highway 27, Whitley City, KY 42653-4084 | 2020-10-21 |
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 | WHITLEY CITY |
Zip Code | 42653 |
Please comment or provide details below to improve the information on KELLI CHANTAY DIXON.
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.