Active NPI
Mariah Lavere
- Pharmacist
- Hodgenville, KY
National Provider Identifier
1174073191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 018880
- Practice address
- 415 N Lincoln Blvd
Hodgenville, KY 42748-1610 - Phone
- (270) 358-3186
- NPI assigned
- Oct 13, 2016
- Last updated
- Oct 13, 2016
- 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 | 018880 | KY | Primary |
Addresses
Primary practice location
415 N Lincoln Blvd
Hodgenville, KY 42748-1610
Mailing address
415 N Lincoln Blvd
Hodgenville, KY 42748-1610
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 |
|---|---|---|---|
| 018880 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476316800000",
"number": "1174073191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 N LINCOLN BLVD",
"city": "HODGENVILLE",
"state": "KY",
"postal_code": "427481610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N LINCOLN BLVD",
"city": "HODGENVILLE",
"state": "KY",
"postal_code": "427481610",
"telephone_number": "270-358-3186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVERE",
"first_name": "MARIAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-13",
"last_updated": "2016-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "018880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hodgenville, KY
- Brittain Cole Jackson, PHARMD
- Shauna Kristen Johnson, APRN
- Larue County Board of Education
- Larue County County Treasurer (Larue County EMS)
- Larue County Geriatric Center, Inc. (Sunrise Manor)
- Lincoln Trail District Health Department (LaRue County Health Center)
- Lincoln Way LLC Janice Diane Haycraft Single MBR
- Louisville Optometric Centers, III PSC (VisionFirst)
- Louisville Optometric Centers, III PSC (VisionFirst)
- LP Hodgenville LLC (Sunrise Manor Nursing Home)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.