Active NPI
Sunny Christina Riddell
- Pharmacist
- Lexington, KY
National Provider Identifier
1083136501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 019301
- Practice address
- 4101 Tates Creek Centre Dr Ste 156
Lexington, KY 40517-3096 - Phone
- (859) 273-0222
- NPI assigned
- Jul 17, 2017
- 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 | 019301 | KY | Primary |
Addresses
Primary practice location
4101 Tates Creek Centre Dr Ste 156
Lexington, KY 40517-3096
Mailing address
4030 Tates Creek Rd Apt 3960
Lexington, KY 40517-3084
Phone (606) 923-3037
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019301 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500249600000",
"number": "1083136501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4030 TATES CREEK RD APT 3960",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405173084",
"telephone_number": "606-923-3037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 TATES CREEK CENTRE DR STE 156",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405173096",
"telephone_number": "859-273-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDDELL",
"first_name": "SUNNY",
"middle_name": "CHRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-17",
"last_updated": "2017-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "019301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.