Kevin Yates, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202218780 Issued in VA

Practice address

21400 Timberlake Rd
Lynchburg, VA 24502-7235

Phone

(434) 239-5752

NPI assigned

Aug 25, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Roanoke, VA
  • NPI 1003821059
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Lynchburg, VA
  • NPI 1093722043
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630713600000",
    "number": "1154934644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21400 TIMBERLAKE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245027235",
            "telephone_number": "434-239-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21400 TIMBERLAKE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245027235",
            "telephone_number": "434-239-5752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4049 Brambleton Ave",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240183426",
            "country_code": "US",
            "telephone_number": "540-725-1546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YATES",
        "first_name": "KEVIN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-25",
        "last_updated": "2021-09-04",
        "certification_date": "2021-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202218780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wynnes Adult Care Facility Inc
• Patrick J Wynnyk, M.D.
• Christina Metaxia Yanakis
• Brenda Markham Yarber, RN, BSN, CNNP
• Melinda Marie Meritt Yarborough, PA-C
• Matthew Timothy Yates, ATC
• Victoria Fuzaylova Yeager, D.D.S.
• Tyler Yeatts, LPC
• Nana Kwasi Yeboah, STUDENT
• Andrea S. Yesalis, NP, PHD, CCD

• Pharmacist in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.