DR. KACEY KILLEBREW (NPI# 1851771711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851771711 |
| Entity Type | Individual |
| Full Name | DR. KACEY KILLEBREW |
| Credential | PHARMD |
| Practice Address |
500 N Missouri Ave Corning AR 72422-1616 |
| Practice Telephone | 8708576766 |
| Practice Fax Number | 8708573391 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD09497 | AR | Pharmacy Service Providers |
| Street Address |
500 N MISSOURI AVE |
| City | CORNING |
| State | AR |
| Zip Code | 72422-1616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225025232 | Cate Pharmacy Inc | Pharmacy | 500 N Missouri Ave, Corning, AR 72422-1616 | 2005-10-04 |
| 1376622746 | Dennis Dorne Cate | Pharmacist | 500 N Missouri Ave, Corning, AR 72422-1616 | 2006-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639326341 | Michele Ann Crancer | Speech-Language Pathologist | 510 Wynn Park Drive, Corning, AR 72422 | 2008-08-25 |
| 1639104920 | Stacy R Arnell | Social Worker | 602 David Street, Corning, AR 72422 | 2006-07-12 |
| 1285046896 | Krystal Dawn Upshaw | Podiatrist | 1300 Creason Rd, Corning, AR 72422 | 2014-06-02 |
| 1760803241 | Kristen Nicole Bruce | Counselor | 602 David St, Corning, AR 72422 | 2013-12-30 |
| 1316211469 | Lisa Lynn Vinal | Nurse Practitioner | 1300 Creason Rd, Corning, AR 72422 | 2012-03-06 |
| 1538431556 | Susie Elaine Flanery | Social Worker | 1300 Creason Rd, Corning, AR 72422 | 2012-02-07 |
| 1023230661 | Corning Public Schools | Local Education Agency (LEA) | 500 Bobcat Lane, Corning, AR 72422-0479 | 2007-05-03 |
| 1003951278 | Karen R Crawley | Speech-Language Pathologist | 2503 Cherry St, Corning, AR 72422-1315 | 2007-02-21 |
| 1649821844 | Jill Ann Foster | Nurse's Aide | 301 Griggs Ln, Corning, AR 72422-1425 | 2019-09-28 |
| 1700211489 | Bradley Chiropractic Center, LLC | Chiropractor | 301 N Missouri Ave, Suite 17, Corning, AR 72422-1600 | 2013-09-12 |
| Find all providers in zip 72422 | ||||
| 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 |
|---|---|---|---|---|
| 1164777967 | Kenzie M Overacker | Pharmacist | 80 Denison Pkwy East, Corning, NY 14830-2660 | 2012-07-17 |
| 1821320631 | Ali Emdadian | Pharmacist | 640 Edith Ave, Corning, CA 96021-2349 | 2010-02-03 |
| 1184896979 | Lewis Alexander Scott Jr. | Pharmacist | 10862 Copp Hill Rd, Corning, NY 14830-3757 | 2008-04-01 |
| 1841461928 | Rebecca Mae Hilborn | Pharmacist | 80 Denison Pkwy W, Corning, NY 14830-2517 | 2008-03-18 |
| 1003098393 | Marcia Louise Ritter | Pharmacist | 601 West Pulteney Street, Corning, NY 14830 | 2007-11-29 |
| 1740462225 | Nicole Marie Dilmore | Pharmacist | 361 Steege Hill Rd, Corning, NY 14830-9248 | 2007-11-27 |
| 1801076047 | William Fisher | Pharmacist | 2682 Goff Rd, Corning, NY 14830-3606 | 2007-11-05 |
| 1962682138 | Heather Ann Ernest-drake | Pharmacist | 100 Conhocton St, Corning, NY 14830-2958 | 2007-11-05 |
| 1003942590 | John V Pagano | Pharmacist | 24 S Bridge St, Corning, NY 14830-2257 | 2007-02-26 |
| 1386743367 | Karen Lynn Hogue | Pharmacist | 26 W Market St, Corning, NY 14830-2617 | 2006-09-22 |
| Find all providers in CORNING | ||||
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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.