Cynthia Lyn Kerr, BPHARM

Primary specialty

PharmacistTaxonomy code 183500000X

License

274699-1701 Issued in UT

Practice address

2255 N University Pkwy
Provo, UT 84604-1588

Phone

(385) 219-3077

Fax

(385) 219-3071

NPI assigned

Apr 14, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1555200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555200000000",
    "number": "1417510645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7577 W CABALLO CV",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840961235",
            "telephone_number": "801-455-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 N UNIVERSITY PKWY",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041588",
            "telephone_number": "385-219-3077",
            "fax_number": "385-219-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "CYNTHIA",
        "middle_name": "LYN",
        "credential": "BPHARM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-14",
        "last_updated": "2019-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "274699-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckerr.s04100.us@wal-mart.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2255 N University Pkwy",
            "city": "Provo",
            "state": "UT",
            "country_code": "US",
            "postal_code": "846041588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan M. Kennedy, RD
• Konrad Spencer Kennington, M.D.
• Michael Andrew Kent, MA
• Mikayla Kent
• Wenona Puanni Kerisiano
• Danielle Kershaw, SSW
• Tamar L Ketchum
• Alyssa Ketler
• Claudia Keyworth, B.M.D.
• Hannah Kharazi

• Pharmacist in Provo, UT
• Providers in Provo, UT by specialty
• Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2019; 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.