Individual provider Active NPI

Nancy E Deines, R.PH.

  • Pharmacist
  • Louisville, KY
National Provider Identifier
1336515352
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
008345 Issued in KY
Practice address
11601 Shelbyville Rd., Suite a
Louisville, KY 40243-1309
Phone
(502) 690-2410
Fax
(502) 690-2219
NPI assigned
Aug 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 008345 KY Primary

Addresses

Primary practice location

11601 Shelbyville Rd., Suite a
Louisville, KY 40243-1309

Mailing address

11601 Shelbyville Rd., Suite a
Louisville, KY 40243-1309
Phone (502) 690-2410

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

LicenseStateTypeSpecialty
008345KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Middletown Pharmacist Group CurrentSince Jul 4, 2021 Accepting new patients
Middletown Pharmacist Group CurrentSince Jun 12, 2022 Accepting new patients
RPH on the Go USA Past Accepting new patients
RPH on the Go, USA Pharmacist Past Accepting new patients

Locations

11601 Shelbyville Rd
#A
Louisville, KY 40243
Phone (502) 690-2410

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1336515352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 SHELBYVILLE RD., SUITE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431309",
            "telephone_number": "502-690-2410",
            "fax_number": "502-690-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 SHELBYVILLE RD., SUITE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431309",
            "telephone_number": "502-690-2410",
            "fax_number": "502-690-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEINES",
        "first_name": "NANCY",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-13",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "008345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.