KYLE HOLDEMAN (NPI# 1922617307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922617307 |
| Entity Type | Individual |
| Full Name | KYLE HOLDEMAN |
| Credential | PHARMD |
| Practice Address |
2013 Lantern Ridge Dr Richmond KY 40475-6010 |
| Practice Telephone | 8595755010 |
| Mailing Telephone | 8595755010 |
| Mailing Fax Number | 8595755065 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
021352 | KY | Pharmacy Service Providers |
| Street Address |
2013 LANTERN RIDGE DR |
| City | RICHMOND |
| State | KY |
| Zip Code | 40475-6010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689991176 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 2013 Lantern Ridge Dr, Richmond, KY 40475-6010 | 2010-04-23 |
| 1124483631 | Mikka Riley | Pharmacist | 2013 Lantern Ridge Dr, Richmond, KY 40475-6010 | 2015-12-28 |
| 1619387065 | Kayla Sexton Boyd | Pharmacist | 2013 Lantern Ridge Dr, Richmond, KY 40475-6010 | 2014-05-06 |
| 1427468271 | Carmen Mckinney | Pharmacist | 2013 Lantern Ridge Dr, Richmond, KY 40475-6010 | 2014-05-02 |
| 1497171599 | Jeff Jackson | Pharmacist | 2013 Lantern Ridge Dr, Richmond, KY 40475-6010 | 2014-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
| 1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
| 1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
| 1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
| 1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
| Find all providers in zip 40475 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033600135 | Benjamin Van Tassell | Pharmacist | 410 North 12th Street, Room 660a, Vcu School of Pharmacy, Box 980533, Richmond, VA 23298-0533 | 2018-05-23 |
| 1780117689 | Kwadwo K Ansong | Pharmacist | 11131 Flanker Way, Richmond, TX 77407-1935 | 2017-04-07 |
| 1588074421 | Emily Rutherford | Pharmacist | 2057 Chester Blvd, Richmond, IN 47374 | 2014-04-30 |
| 1841405644 | Sheila Anne Pedigo | Pharmacist | 2129 Waters Mill Pt, Richmond, VA 23235-2914 | 2007-05-14 |
| 1124104088 | Kai I Cheang | Pharmacist | 410 N. 12th St., Rm 454, Richmond, VA 23298-0533 | 2006-10-31 |
| 1124039797 | Brigitte Luong Sicat | Pharmacist | 410 North 12th St, Smith Bldg, Richmond, VA 23298 | 2006-08-10 |
| 1891702270 | William Leighton Rock Jr. | Pharmacist | Hunter Holmes Mcguire Vamc (119f), 1201 Broad Rock Blvd, Richmond, VA 23249 | 2006-08-01 |
| 1710902507 | Karen A Tisdel | Pharmacist | 1201 Broad Rock Blvd # 151, Richmond, VA 23249-0001 | 2006-07-13 |
| 1235167016 | Kimberly Jo Richards | Pharmacist | Pattie A Clay Regional Med Center, 801 Eastern By-pass, Richmond, KY 40475 | 2006-06-29 |
| 1891794756 | Jean-venable Robertson Goode | Pharmacist | 410 N 12th St, Richmond, VA 23298-5062 | 2005-07-21 |
| Find all providers in RICHMOND | ||||
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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.