Chelsea M. Gerken, PHARMD, RPH

Individual provider Active NPI Pharmacist · Walton, KY

NPI 1255920567 · NPPES record last updated Jan 12, 2021

Key facts

NPI
1255920567
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
017765 (KY)
Practice address
305 Mary Grubbs Hwy
Walton, KY 41094-7483
Phone
(859) 485-7733
Fax
(859) 485-2749
NPI assigned
Jan 12, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
017765KYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
KKB Corporation Past
since Jan 17, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 017765 KY Yes

Addresses

Primary practice location

305 Mary Grubbs Hwy
Walton, KY 41094-7483

Mailing address

5922 Noel Creek LN
Burlington, KY 41005-8595
Phone (513) 919-9039

Other providers in Walton, KY

All providers in Walton, KY · Pharmacist in Kentucky

Sources for this page

Verify at the official NPI Registry.