CASSANDRA PETREY (NPI# 1972137701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972137701 |
| Entity Type | Individual |
| Full Name | CASSANDRA PETREY |
| Credential | PHARMD |
| Practice Address |
1 Trillium Way Corbin KY 40701-8727 |
| Practice Telephone | 6065238565 |
| Mailing Telephone | 6065238565 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 016599 | KY | Pharmacy Service Providers |
| Street Address |
1 TRILLIUM WAY |
| City | CORBIN |
| State | KY |
| Zip Code | 40701-8727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659377950 | Mitchell Carl | Internal Medicine | 1 Trillium Way, Ste 302, Corbin, KY 40701-8426 | 2005-06-22 |
| 1114538204 | Kimberly Thompson | Nurse Practitioner | 1 Trillium Way, Corbin, KY 40701-8426 | 2020-08-12 |
| 1780293027 | Christina Ann North-woods | Nurse Practitioner | 1 Trillium Way, Corbin, KY 40701-8426 | 2020-07-22 |
| 1366050395 | Allison Elizabeth Lebron | Nurse Practitioner | 1 Trillium Way, Corbin, KY 40701-8426 | 2020-07-15 |
| 1558984443 | Brittany Belcher | Physician Assistant | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-05-26 |
| 1891318192 | Bridgette Nichole Smallwood | Physician Assistant | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-05-20 |
| 1417583659 | Regina Upchurch | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-03-19 |
| 1396371795 | Kristin Cox | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-03-17 |
| 1215561055 | Amanda Alred Elza | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-03-02 |
| 1518591486 | Amanda Rose Monin | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-02-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1376014183 | Ruth Ann Thornhill | Nurse Practitioner | 521 E. Cumberland Gap Parkway #1, Corbin, KY 40701 | 2018-12-06 |
| 1770066136 | Grace Community Health Center, Inc. | Psychologist | 50 Ed Mcneel Drive, Corbin, KY 40701 | 2018-09-12 |
| 1235610353 | Linda Bales | Occupational Therapist | 112 Commonwealth Avenue, Corbin, KY 40701 | 2018-08-27 |
| 1710465398 | Holly Davina Bingham | Counselor | 1203 Amercn Grtg Card Rd, Corbin, KY 40701 | 2018-08-05 |
| 1881134914 | Angie Mossie Ledford | Nurse Practitioner | 521 Cumberland Gap Parkway #1, Corbin, KY 40701 | 2017-03-08 |
| 1669915609 | Energized Therapy | Occupational Therapist | 702 Phillips Lane, Corbin, KY 40701 | 2016-11-23 |
| 1649635293 | Debra Ann Hipsher | Counselor | 967 South Hwy 25 West, Corbin, KY 40701 | 2015-12-28 |
| 1356729438 | Sean William James | Family Medicine | 14949 N Us Highway 25 E Ste 4, Corbin, KY 40701 | 2015-05-11 |
| 1962847285 | Angela Davidson Gabbard | Dentist | 129 S. Hwy 1223, Corbin, KY 40701 | 2013-04-30 |
| Find all providers in zip 40701 | ||||
| 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 |
|---|---|---|---|---|
| 1417221698 | Jeffrey Lee Holmes | Pharmacist | 1150 Master St., Corbin, KY 40701 | 2012-03-06 |
| 1720361637 | Krupa Mehta | Pharmacist | 990 E Cumberland Gap Pkwy, Corbin, KY 40701-2574 | 2011-09-27 |
| 1891075495 | Thomas Wayne Goodin Jr. | Pharmacist | 1802 S Main St, Corbin, KY 40701-2446 | 2011-08-26 |
| 1396035150 | Shrija Mukundbhai Trivedi | Pharmacist | 1320 Cumberland Falls Hwy, Corbin, KY 40701-2719 | 2011-04-13 |
| 1255440806 | Eric Gibbs | Pharmacist | 40 Moonbow Plz, Suite #1, Corbin, KY 40701-8982 | 2006-08-29 |
| 1790725000 | William A Keck IIi | Pharmacist | 42 Emerald Dr, Corbin, KY 40701-7426 | 2006-06-07 |
| 1972597383 | James D Norvell | Pharmacist | 121 Bishop St, Suite 1, Corbin, KY 40701-1702 | 2005-08-31 |
| 1619577376 | Megan Martin | Pharmacist | 60 S Stewart Rd, Corbin, KY 40701-4675 | 2020-10-30 |
| 1548860794 | Kristen Durham | Pharmacist | 60 S Stewart Rd, Corbin, KY 40701-4675 | 2020-10-27 |
| 1326648841 | Kayla Prewitt | Pharmacist | 14889 N Us Highway 25 E Ste A, Corbin, KY 40701-5157 | 2020-10-26 |
| Find all providers in CORBIN | ||||
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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.