KIMBERLY ANNE WILSON-MACKEY (NPI# 1235760158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235760158 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANNE WILSON-MACKEY |
| Credential | R.PH. |
| Practice Address |
200 E Brannon Rd Nicholasville KY 40356-8059 |
| Practice Telephone | 8599714303 |
| Practice Fax Number | 8599714309 |
| Mailing Telephone | 8599714303 |
| Mailing Fax Number | 8599714309 |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-01-29 |
| 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 |
010918 | KY | Pharmacy Service Providers |
| Street Address |
200 E BRANNON RD |
| City | NICHOLASVILLE |
| State | KY |
| Zip Code | 40356-8059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972537686 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 200 E Brannon Rd, Nicholasville, KY 40356-8059 | 2006-07-10 |
| 1790318343 | Philip En Chang | Pharmacist | 200 E Brannon Rd, Nicholasville, KY 40356-8059 | 2020-02-21 |
| 1083244560 | Shelley Elane Nall | Pharmacist | 200 E Brannon Rd, Nicholasville, KY 40356-8059 | 2020-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609414507 | Samantha Johanne Tatum | Occupational Therapist | 610 E Brannon Road Suite 200, Nicholasville, KY 40356 | 2019-12-11 |
| 1083117279 | Michelle M Harrison | Counselor | 100 W. Maple Street, Nicholasville, KY 40356 | 2018-03-14 |
| 1427598226 | Margaret Osbourne | Counselor | 101a Wind Haven Drive, Suite 203, Nicholasville, KY 40356 | 2017-02-28 |
| 1265818421 | Amanda Marie Sciretta | Speech-Language Pathologist | 105 Windhaven Drive, Suite 1, Nicholasville, KY 40356 | 2015-08-10 |
| 1538568720 | Carmen T Wurtz | Physical Therapist | 602 Keene Centre Dr, Nicholasville, KY 40356 | 2014-08-14 |
| 1780093609 | Kristin Borrelli | Psychologist | 2513 Bethel Rd, Nicholasville, KY 40356 | 2014-08-05 |
| 1003169343 | Megan Brittany Young | Occupational Therapist | 1123 Holloway Lane, Nicholasville, KY 40356 | 2012-10-24 |
| 1801145412 | Brannon Crossing Family Dental, Pllc | Dentist | 231 East Brannon Rd, Nicholasville, KY 40356 | 2012-08-29 |
| 1821392135 | The Methodist Home of Ky | Case Management | 1115 Ashgrove Road, Nicholasville, KY 40356 | 2010-12-29 |
| 1083934053 | Benjamin J Heckman | Dentist | 117 Bryant Dr, Nicholasville, KY 40356 | 2010-06-01 |
| Find all providers in zip 40356 | ||||
| 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 |
|---|---|---|---|---|
| 1790318343 | Philip En Chang | Pharmacist | 200 E Brannon Rd, Nicholasville, KY 40356-8059 | 2020-02-21 |
| 1083244560 | Shelley Elane Nall | Pharmacist | 200 E Brannon Rd, Nicholasville, KY 40356-8059 | 2020-01-23 |
| 1407496987 | Kristina Maria Dickson | Pharmacist | 170 Bellerive Blvd, Nicholasville, KY 40356-8120 | 2020-01-13 |
| 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 | NICHOLASVILLE |
| Zip Code | 40356 |
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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.