Kelley Sue Spencer, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

012620 Issued in KY

Practice address

100 S Main St
Versailles, KY 40383-1214

Phone

(859) 873-3007

NPI assigned

Feb 9, 2007

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

Credentials

Registered Pharmacist

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 and National Provider Directory roles.

• New Era of Kentucky, Inc

  • Community/Retail Pharmacy
  • Versailles, KY
  • NPI 1174664619
  NPD (past) Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427199959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 HIFNER RD",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403839626",
            "telephone_number": "859-879-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831214",
            "telephone_number": "859-873-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "KELLEY",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "012620",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "040751-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Lee Spano, RN
• Angela Sparks, CNM
• Cynthia Renea Sparks, RN
• Spencer Drug LLC
• Dylan Spencer, PHARMD
• St. Joseph Pharmacy, PLLC
• Kathleen McKendree Stanton
• Alexis Stepp, RBT
• Stepping Stones Therapy Center, LLC
• Steps Ahead, Inc.

• Pharmacist in Versailles, KY
• Providers in Versailles, 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.