MR. KENNETH RAY MCCAMISH (NPI# 1720585268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720585268 |
| Entity Type | Individual |
| Full Name | MR. KENNETH RAY MCCAMISH |
| Credential | RPH |
| Practice Address |
530 S Jackson St Louisville KY 40202-1675 |
| Mailing Address |
1014 Pebble Creek Dr Jeffersonville IN 47130-5792 |
| Practice Telephone | 5025623000 |
| Mailing Telephone | 8129460290 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PH000400009 | WA | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
011411 | KY | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
26017988A | IN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | INDIANA BOARD OF PHARMACY | 26017988A | 01 |
| WA | WASHINGTON STATE BOARD OF PHARMACY | PH00040009 | 01 |
| KY | KENTUCKY BOARD OF PHARMACY | 011411 | 01 |
| Street Address |
530 S JACKSON ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264062 | Magdy A Abaskaron | Radiology | 530 S Jackson St, # C07, Louisville, KY 40202-1675 | 2005-06-13 |
| 1609476787 | Jessica Fuyumi Burns | Registered Nurse | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-10-28 |
| 1881292548 | Elizabeth Ann Blandford | Nurse Practitioner | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-10-15 |
| 1487252466 | Corey Dale Vogt | Physical Therapist | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-10-13 |
| 1265046627 | Miranda Renea Pierce | Nurse Anesthetist, Certified Registered | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-09-03 |
| 1568080679 | Thomas Matthew Sturgis | Physical Therapist | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-07-07 |
| 1356965701 | Casey Marie Sullivan | Nurse Anesthetist, Certified Registered | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-06-02 |
| 1255951083 | Teresa S Meurer | Registered Nurse | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-04-22 |
| 1063032001 | Michael Dale Lance II | Nurse Anesthetist, Certified Registered | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-04-20 |
| 1700405164 | Sayed Eyedn Khosrowshahi | Nurse Anesthetist, Certified Registered | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| 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 |
|---|---|---|---|---|
| 1003417528 | Monica Ann Elswick | Pharmacist | 4913 Carriage Pass Pl, Louisville, KY 40299-6638 | 2020-11-02 |
| 1790324333 | Joseph Strano | Pharmacist | 12450 Lagrange Road, Louisville, KY 40245 | 2019-12-30 |
| 1215575410 | Eric Wolfe | Pharmacist | 1320 Snake Foot Drive, Apt 204, Louisville, KY 40243 | 2019-12-18 |
| 1841797560 | Bhavyata Parag | Pharmacist | 530 S Jackson St Apt 111, Louisville, KY 40202-1675 | 2018-04-09 |
| 1588910905 | Gayatri Singh | Pharmacist | 900 Eldorado Lane, Louisville, CO 80027-3107 | 2012-08-03 |
| 1083868947 | Esen Apak Stephens | Pharmacist | 9819 White Blossom Blvd, Louisville, KY 40241-4181 | 2008-11-05 |
| 1477154649 | Kristopher Waller | Pharmacist | 3165 S 2nd St, Louisville, KY 40208-1446 | 2020-11-04 |
| 1083214290 | Kristin Scarboro | Pharmacist | 3039 Breckenridge Ln, Louisville, KY 40220-2101 | 2020-10-27 |
| 1811596893 | Melina Irene Digenis | Pharmacist | 9440 Brownsboro Rd, Louisville, KY 40241-1200 | 2020-10-21 |
| 1467051417 | William K Harmon | Pharmacist | 9080 Taylorsville Rd, Louisville, KY 40299-1750 | 2020-10-21 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
Please comment or provide details below to improve the information on MR. KENNETH RAY MCCAMISH.
| 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.