Kellie D Thierman

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP445078 Issued in PA

Practice address

975 Market St
Meadville, PA 16335-3354

Phone

(814) 336-3773

Fax

(814) 333-8347

NPI assigned

Apr 29, 2011

Last updated

Sep 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rite Aid of Pennsylvania LLC

  dba Rite Aid Pharmacy 02380

  • Community/Retail Pharmacy
  • Meadville, PA
  • NPI 1386733038
  NPD (past)
• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Clearfield, PA
  • NPI 1508431081
  NPD (past)

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536969600000",
    "number": "1396036968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 MARKET ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353354",
            "telephone_number": "814-336-3773",
            "fax_number": "814-333-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 MARKET ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353354",
            "telephone_number": "814-336-3773",
            "fax_number": "814-333-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIERMAN",
        "first_name": "KELLIE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-29",
        "last_updated": "2018-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0007565",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP445078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Ternent, PHARM.D.
• Gautam C Thakur, MD
• Robert Thayer, LPC
• The Arc of Crawford County, Inc.
• The Tamarkin Company (Giant Eagle Pharmacy #0095)
• Christopher Thomas, M.D.
• Hope M. Thomas, LCSW
• Jessica Thompson, MA, LPC
• Joshua Thompson, DMD
• Stuart Thompson, M.A.

• Pharmacist in Meadville, PA
• Providers in Meadville, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2018; 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.