Active NPI
Kenna Jade Fields, PHARMD
- Pharmacist
- Pikeville, KY
National Provider Identifier
1457071698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 023040
- Practice address
- 4209 N Mayo TRL
Pikeville, KY 41501-3210 - Phone
- (606) 432-0331
- NPI assigned
- Aug 29, 2022
- 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 | 023040 | KY | Primary |
Addresses
Primary practice location
4209 N Mayo TRL
Pikeville, KY 41501-3210
Mailing address
1382 Sunset Hollow Rd
Grundy, VA 24614-6723
Phone (276) 275-4156
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023040 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1457071698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1382 SUNSET HOLLOW RD",
"city": "GRUNDY",
"state": "VA",
"postal_code": "246146723",
"telephone_number": "276-275-4156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4209 N MAYO TRL",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415013210",
"telephone_number": "606-432-0331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELDS",
"first_name": "KENNA",
"middle_name": "JADE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-29",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "023040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pikeville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.