Jeremy Burns, PHARMD
Individual provider Active NPI Pharmacist · Nicholasville, KY
NPI 1013516152 · NPPES record last updated Oct 20, 2020
Key facts
- NPI
- 1013516152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 013305 (KY)
- Practice address
- 995 S Main St
Nicholasville, KY 40356-2151 - Phone
- (859) 881-9086
- NPI assigned
- Oct 20, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013305 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past |
Accepting new patients | |
| Kroger Limited Partnership I | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 013305 | KY | Yes |
Addresses
Primary practice location
995 S Main St
Nicholasville, KY 40356-2151
Mailing address
995 S Main St
Nicholasville, KY 40356-2151
Phone (859) 881-9086
Other providers in Nicholasville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.