Active NPI
Deonna Emerson Hargrove, R.PH.
- Pharmacist
- Prospect, KY
National Provider Identifier
1407076813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 011965
- Practice address
- 12808 Creekbend CT
Prospect, KY 40059-8171 - Phone
- (502) 645-6991
- NPI assigned
- Apr 26, 2007
- 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 | 011965 | KY | Primary |
Addresses
Primary practice location
12808 Creekbend CT
Prospect, KY 40059-8171
Mailing address
12808 Creekbend Court
Prospect, KY 40059-8171
Phone (502) 645-6991
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13120 | Other | MD | PHARMACIST LICENSE |
| 011965 | Other | KY | PHARMACIST LICENSE |
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 |
|---|---|---|---|
| 011965 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407076813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12808 CREEKBEND COURT",
"city": "PROSPECT",
"state": "KY",
"postal_code": "400598171",
"telephone_number": "502-645-6991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12808 CREEKBEND CT",
"city": "PROSPECT",
"state": "KY",
"postal_code": "400598171",
"telephone_number": "502-645-6991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGROVE",
"first_name": "DEONNA",
"middle_name": "EMERSON",
"name_prefix": "Ms.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "011965",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "13120",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "011965",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prospect, KY
Sources for this page
- 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.