Kayleigh Bornhauser, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

I059161 Issued in NY

Practice address

11 Trieble Ave
Ballston Spa, NY 12020-6010

Phone

(518) 885-4672

NPI assigned

Feb 26, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Martin'S Foods of South Burlington, LLC

  • Community/Retail Pharmacy
  • Troy, NY
  • NPI 1306574215
  NPD (past)
• Martins Foods of South Burlington LLC

  • Community/Retail Pharmacy
  • Ballston Spa, NY
  • NPI 1043328420
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1003208125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "MS 3000",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041045005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 TRIEBLE AVE",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120206010",
            "telephone_number": "518-885-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORNHAUSER",
        "first_name": "KAYLEIGH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I059161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Betesh
• Julie Ann Bievenue, CCC-SLP
• Heather Messing Billington, DMD
• Allison Blakeslee
• Robert Michael Block, D.C.
• Carol Bozzo
• Kaitlin Alyssa Brennan, SLP
• Olivia Brooks, LMSW
• Brooke Brown, LCSWR
• Brittany Ann Bryant, M.S., CCC-SLP

• Pharmacist in Ballston Spa, NY
• Providers in Ballston Spa, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.