Lacey Kincheloe, PHARM. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH029185 Issued in GA

Practice address

1035 Lower Fayetteville Rd
Newnan, GA 30265-1132

Phone

(404) 272-4408

Fax

(401) 652-0181

NPI assigned

Jan 1, 2021

Last updated

Jan 1, 2021By the provider in NPPES

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

Credentials

Doctor of Pharmacy

State licenses

Interoperability endpoints

• Direct secure messaging: rx00962@cvshealth.com

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

{
    "created_epoch": "1609459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609459200000",
    "number": "1497343867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BILL KENNEDY WAY SE APT A-135",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303167214",
            "telephone_number": "404-272-4408",
            "fax_number": "401-652-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 LOWER FAYETTEVILLE RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651132",
            "telephone_number": "404-272-4408",
            "fax_number": "401-652-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCHELOE",
        "first_name": "LACEY",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-01",
        "last_updated": "2021-01-01",
        "certification_date": "2021-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH029185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RX00962@CVSHealth.com",
            "affiliation": "N",
            "endpointDescription": "Store email on private secure network",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1035 Lower Fayetteville Rd",
            "city": "Newnan",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302651132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jihye Kim, MD
• Min Hui Kim, M.D.
• Yang Eun Kim, DMD
• Kristi Kimbler, NP
• Kyle Jean Kimpel
• Schneka D Kinchen
• Julius King
• Kevin Douglas King
• Monica D'Andra King
• Amari Kinsey, RBT

• Pharmacist in Newnan, GA
• Providers in Newnan, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2021; 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.