Active NPI
Kevin Trenouth Kellow, PHARMD
- Pharmacist
- Springhill, LA
National Provider Identifier
1457773145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 019095
- Practice address
- 1920 S Arkansas St
Springhill, LA 71075-4320 - Phone
- (318) 539-3500
- Fax
- (318) 539-2522
- NPI assigned
- Jan 14, 2014
- Last updated
- Jan 14, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 019095 | LA | Primary |
Addresses
Primary practice location
1920 S Arkansas St
Springhill, LA 71075-4320
Mailing address
1920 S Arkansas St
Springhill, LA 71075-4320
Phone (318) 539-3500
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 |
|---|---|---|---|
| 019095 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Walmart Pharmacy 10-1169
- Community/Retail Pharmacy
- Springhill, LA
- NPI 1063439313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389657600000",
"number": "1457773145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 S ARKANSAS ST",
"city": "SPRINGHILL",
"state": "LA",
"postal_code": "710754320",
"telephone_number": "318-539-3500",
"fax_number": "318-539-2522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 S ARKANSAS ST",
"city": "SPRINGHILL",
"state": "LA",
"postal_code": "710754320",
"telephone_number": "318-539-3500",
"fax_number": "318-539-2522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLOW",
"first_name": "KEVIN",
"middle_name": "TRENOUTH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-14",
"last_updated": "2014-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "019095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springhill, LA
- Laura Margarita Hart, M.D.
- William G Hathaway III, MD
- Samuel S Holladay, M.D.
- Hulin Urgent Care Services, LLC (SouthStar Urgent Care)
- Basavapunna R Kaza, M.D.
- La First Street, LLC (Springhill Post Acute & Memory Care)
- Lagniappe Dental North LLC
- Matthew Wilson Lane, DDS
- Katie Lana Lincoln, PHARM.D.
- Vincent Bryan Lococo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.