Active NPI
Mia Renee Pelfrey, PHARMD
- Pharmacist
- Winchester, KY
National Provider Identifier
1134724081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 012739
- Practice address
- 24 W Lexington Ave
Winchester, KY 40391-1983 - Phone
- (859) 744-7701
- Fax
- (859) 744-2145
- NPI assigned
- Nov 30, 2020
- 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 | 012739 | KY | Primary |
Addresses
Primary practice location
24 W Lexington Ave
Winchester, KY 40391-1983
Mailing address
24 W Lexington Ave
Winchester, KY 40391-1983
Phone (859) 744-7701
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 |
|---|---|---|---|
| 012739 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1134724081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 W LEXINGTON AVE",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403911983",
"telephone_number": "859-744-7701",
"fax_number": "859-744-2145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 W LEXINGTON AVE",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403911983",
"telephone_number": "859-744-7701",
"fax_number": "859-744-2145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELFREY",
"first_name": "MIA",
"middle_name": "RENEE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "012739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.