Active NPI
Kevin L Vinson, RPH
- Pharmacist
- Radcliff, KY
National Provider Identifier
1003190851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 009275
- Practice address
- 635 S Dixie Blvd
Radcliff, KY 40160-1219 - Phone
- (270) 352-0880
- Fax
- (270) 352-0890
- NPI assigned
- Sep 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 009275 | KY | Primary |
Addresses
Primary practice location
635 S Dixie Blvd
Radcliff, KY 40160-1219
Mailing address
241 Forest Trce
Radcliff, KY 40160-9448
Phone (270) 877-2532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009275 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1003190851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 FOREST TRCE",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "401609448",
"telephone_number": "270-877-2532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 S DIXIE BLVD",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "401601219",
"telephone_number": "270-352-0880",
"fax_number": "270-352-0890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINSON",
"first_name": "KEVIN",
"middle_name": "L",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-28",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "009275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Radcliff, KY
- Faiz M Uddin, MD
- United Healtcare of Hardin (Lincoln Trail Behavioral Health System)
- United Healthcare of Hardin, Inc (Lincoln Trail Behavioral Health System)
- United Healthcare of Hardin, Inc. (Lincoln Trail Behavioral Health System)
- Universal Concepts
- Wal-Mart Stores East LP (Walmart Pharmacy 10-5135)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-1165)
- Wal-Mart Stores East, LP (Vision Center 30-1165)
- Walgreen Co (Walgreens #11761)
- Angie L Walker, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.