Betsy Dewitt McCollum, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

010745 Issued in KY

Practice address

627 W Fourth St
Eastern State Hospital- Pharmacy
Lexington, KY 40508-1294

Phone

(859) 246-7241

Fax

(859) 246-7023

NPI assigned

Jun 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356379481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 W FOURTH ST",
            "address_2": "EASTERN STATE HOSPITAL- PHARMACY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405081294",
            "telephone_number": "859-246-7241",
            "fax_number": "859-246-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 W FOURTH ST",
            "address_2": "EASTERN STATE HOSPITAL- PHARMACY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405081294",
            "telephone_number": "859-246-7241",
            "fax_number": "859-246-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "BETSY",
        "middle_name": "DEWITT",
        "name_prefix": "Ms.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "010745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Richard McClung Jr., LCSW
• Jessica Abell McClure, APRN
• Leah McClure
• Rick Raymond McClure, MD
• Nicole S McCoin, MD
• Kelly Elise McConathy, ARNP
• Kevin W McConeghy, PHARMD
• Thomas A McConnell, DDS
• Wesley McCool, PTA
• Alexander Douglas McCord

• Pharmacist in Lexington, KY
• Providers in Lexington, KY by specialty
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.