Anissa Pendleton, PHARMD
Individual provider Active NPI Pharmacist · Munfordville, KY
NPI 1053035196 · NPPES record last updated Oct 3, 2022
Key facts
- NPI
- 1053035196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 012118 (KY)
- Practice address
- 500 Main Street
Munfordville, KY 42765-0127 - Phone
- (270) 524-3669
- NPI assigned
- Oct 3, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 012118 | KY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 012118 | KY | Yes |
Addresses
Primary practice location
500 Main Street
Munfordville, KY 42765-0127
Mailing address
PO Box 127
Munfordville, KY 42765-0127
Phone (270) 524-3669
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | khie | Health Information Exchange (HIE) |
Other providers in Munfordville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2022. 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.