CALVIN ERNEST KETTERLING (NPI# 1699305730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699305730 |
Entity Type | Individual |
Full Name | CALVIN ERNEST KETTERLING |
Credential | R.PH. |
Practice Address |
2325 N State Highway 3 North Vernon IN 47265-9251 |
Mailing Address |
Po Box 751 North Vernon IN 47265-0751 |
Practice Telephone | 8123521780 |
Practice Fax Number | 8123521782 |
Mailing Telephone | 8125926341 |
Enumeration Date | 2020-01-16 |
Last Update Date | 2020-01-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
26016439A | IN | Pharmacy Service Providers |
Street Address |
2325 N STATE HIGHWAY 3 |
City | NORTH VERNON |
State | IN |
Zip Code | 47265-9251 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033143847 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 2325 N State Highway 3, North Vernon, IN 47265-7483 | 2006-07-10 |
1821607011 | Shawna Lee Harmon | Pharmacist | 2325 N State Highway 3, North Vernon, IN 47265-9251 | 2020-07-24 |
1588294458 | Jennifer Rennekamp | Pharmacist | 2325 N State Highway 3, North Vernon, IN 47265-9251 | 2020-01-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306492723 | Lariann Rumph | Pharmacist | 14 North State Street, North Vernon, IN 47265 | 2019-08-12 |
1649798307 | Activate Healthcare - Nvic Clinic | Clinic/Center | 3750 4th Street, North Vernon, IN 47265 | 2017-09-01 |
1104372333 | Wecare Tlc - Jcsc Health and Wellness Center | Clinic/Center | 1800 Commercial Dr, North Vernon, IN 47265 | 2016-08-28 |
1053715987 | Erika Duran | Pharmacist | 9 N State Street, North Vernon, IN 47265 | 2014-10-21 |
1053720946 | Melissa R Hunter Lmhc LLC | Counselor | 753 North State Street, Suite A, North Vernon, IN 47265 | 2014-08-05 |
1962731075 | North Vernon Fire Department | Ambulance | 2000 North Madison Ave, North Vernon, IN 47265 | 2009-12-18 |
1063544989 | Quinco Consulting Center Inc | Clinic/Center | 299 W Hayden Pike, North Vernon, IN 47265 | 2007-03-09 |
1972635894 | Quinco Consulting Center Inc | Clinic/Center | 601 N Henry Street, North Vernon, IN 47265 | 2007-03-09 |
1659406528 | Jennings County Auditor | Ambulance | 925 South State Street, North Vernon, IN 47265 | 2007-02-22 |
1780729822 | Southern Indiana Orthopedics | Durable Medical Equipment & Medical Supplies | 1810 North Commercial Drive, North Vernon, IN 47265 | 2007-02-20 |
Find all providers in zip 47265 |
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 |
---|---|---|---|---|
1821607011 | Shawna Lee Harmon | Pharmacist | 2325 N State Highway 3, North Vernon, IN 47265-9251 | 2020-07-24 |
1588294458 | Jennifer Rennekamp | Pharmacist | 2325 N State Highway 3, North Vernon, IN 47265-9251 | 2020-01-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841816766 | Kimberlee Chilcote | Pharmacist | 8275 Allison Pointe Trl Ste 370, Indianapolis, IN 46250-4298 | 2020-06-17 |
1700413721 | Damar Pharmacy Services LLC | Pharmacist | 5715 Decatur Blvd, Indianapolis, IN 46241-9561 | 2020-03-27 |
1871123562 | Kathy Jo Passereni | Pharmacist | 1541 Tipton St, Seymour, IN 47274 | 2020-01-22 |
1811537095 | Marla Ann Carroll | Pharmacist | 815 Highlander Point Drive, Floyds Knobs, IN 47119 | 2020-01-15 |
1508404815 | Shelli Ann Bulach | Pharmacist | 1034 Sr 229 North, Batesville, IN 47006 | 2019-12-17 |
1235773169 | Amy Epley | Pharmacist | 350 W Columbia St Ste 210, Evansville, IN 47710-1782 | 2019-11-04 |
1649767955 | Sean Meador | Pharmacist | 3630 31st Street, Columbus, IN 47203 | 2018-04-23 |
1093218489 | Sparkle Box | Pharmacist | 1908 Bluebird Ln, Munster, IN 46321-3429 | 2018-03-13 |
1194150490 | Janet Redmond | Pharmacist | 6911 Hillsdale Ct, Indianapolis, IN 46250-2054 | 2013-09-05 |
1962751446 | Robert L Plant | Pharmacist | 3602 New Vision Drive, Fort Wayne, IN 46845 | 2012-08-30 |
Find all providers with the same taxonomy |
City | NORTH VERNON |
Zip Code | 47265 |
Please comment or provide details below to improve the information on CALVIN ERNEST KETTERLING.
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.