Active NPI
Mayme Deshea Pruitt, RPH
- Pharmacist
- Paducah, KY
National Provider Identifier
1356944565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 011283
- Practice address
- 3275 Irvin Cobb Dr
Paducah, KY 42003-0338 - Phone
- (270) 443-4885
- NPI assigned
- Nov 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 011283 | KY | Primary |
Addresses
Primary practice location
3275 Irvin Cobb Dr
Paducah, KY 42003-0338
Mailing address
345 Peppers Mill Dr
Paducah, KY 42001-8903
Phone (270) 350-5585
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | sheapruitt |
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 |
|---|---|---|---|
| 011283 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky CVS Pharmacy, L.L.C. | Past | Accepting new patients |
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.
-
- Pharmacy
- Paducah, KY
- NPI 1467555821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1356944565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 PEPPERS MILL DR",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420018903",
"telephone_number": "270-350-5585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3275 IRVIN COBB DR",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420030338",
"telephone_number": "270-443-4885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUITT",
"first_name": "MAYME",
"middle_name": "DESHEA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-19",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "011283",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "sheapruitt",
"affiliation": "N",
"address_1": "3275 Irvin Cobb Dr",
"city": "Paducah",
"state": "KY",
"country_code": "US",
"postal_code": "420030338",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.