Active NPI
Nicole Renee Brummett, PHARMD
- Pharmacist
- Ft Wright, KY
National Provider Identifier
1023398591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 012955
- Practice address
- 1825 Dixie Hwy
Ft Wright, KY 41011-2646 - Phone
- (859) 331-0370
- Fax
- (859) 331-9728
- NPI assigned
- Aug 27, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 012955 | KY | Primary |
Addresses
Primary practice location
1825 Dixie Hwy
Ft Wright, KY 41011-2646
Mailing address
166 Hidden Ridge CT
Highland Heights, KY 41076-8510
Phone (859) 240-7753
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012955 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Ft Wright, KY
- NPI 1952316192
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314403200000",
"number": "1023398591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 HIDDEN RIDGE CT",
"city": "HIGHLAND HEIGHTS",
"state": "KY",
"postal_code": "410768510",
"telephone_number": "859-240-7753",
"fax_number": "859-331-9728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 DIXIE HWY",
"city": "FT WRIGHT",
"state": "KY",
"postal_code": "410112646",
"telephone_number": "859-331-0370",
"fax_number": "859-331-9728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUMMETT",
"first_name": "NICOLE",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-27",
"last_updated": "2011-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "012955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Wright, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.