Active NPI
Tina Marie Herbst, RPH
- Pharmacist
- Independence, KY
National Provider Identifier
1205116704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 012485
- Practice address
- 2005 Centennial Blvd
Independence, KY 41051-7041 - Phone
- (859) 363-3605
- Fax
- (859) 363-3631
- NPI assigned
- Aug 29, 2011
- Last updated
- Aug 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 012485 | KY | Primary |
| Pharmacist | 183500000X | 03122534 | OH |
Addresses
Primary practice location
2005 Centennial Blvd
Independence, KY 41051-7041
Mailing address
2005 Centennial Blvd
Independence, KY 41051-7041
Phone (859) 363-3605
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012485 | KY | MD | Pharmacist |
| 03122534 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert J Herbst | Current | Accepting new patients | |
| Americas Wound Care Center LLC | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Florence, KY
- NPI 1861983199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314576000000",
"number": "1205116704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 CENTENNIAL BLVD",
"city": "INDEPENDENCE",
"state": "KY",
"postal_code": "410517041",
"telephone_number": "859-363-3605",
"fax_number": "859-363-3631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 CENTENNIAL BLVD",
"city": "INDEPENDENCE",
"state": "KY",
"postal_code": "410517041",
"telephone_number": "859-363-3605",
"fax_number": "859-363-3631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERBST",
"first_name": "TINA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-29",
"last_updated": "2011-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "012485",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03122534",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.