Active NPI
Courtney Huntley, PHARMD
- Pharmacist
- Covington, KY
National Provider Identifier
1316562564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 021247
- Practice address
- 4299 Winston Ave
Covington, KY 41015-1709 - Phone
- (859) 291-4722
- NPI assigned
- Jun 13, 2020
- Last updated
- Jun 13, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03439517 | OH | |
| Pharmacist | 183500000X | 2018032018 | MO | |
| Pharmacist | 183500000X | 021247 | KY | Primary |
Addresses
Primary practice location
4299 Winston Ave
Covington, KY 41015-1709
Mailing address
4263 Cider Mill Dr
Cincinnati, OH 45245-1601
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 |
|---|---|---|---|
| 021247 | KY | MD | Pharmacist |
| 2018032018 | MO | MD | Pharmacist |
| 03439517 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
4299 Winston Ave
Covington, KY 41015
Phone (859) 291-4722
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592006400000",
"number": "1316562564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4263 CIDER MILL DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452451601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4299 WINSTON AVE",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410151709",
"telephone_number": "859-291-4722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTLEY",
"first_name": "COURTNEY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-13",
"last_updated": "2020-06-13",
"certification_date": "2020-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03439517",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2018032018",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "021247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.