Active NPI
Lori Lynne Kiddy, RPH
- Pharmacist
- Lonaconing, MD
National Provider Identifier
1497867006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10773
- Practice address
- 19 Main St
Lonaconing, MD 21539-1122 - Phone
- (301) 463-5757
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- 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 | 10773 | MD | Primary |
Addresses
Primary practice location
19 Main St
Lonaconing, MD 21539-1122
Mailing address
935 Pinecrest Dr
C-3
Cumberland, MD 21502-1942
Phone (301) 268-1606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10773 | Other | MD | PHARMACIST |
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
- Registered Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497867006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 PINECREST DR",
"address_2": "C-3",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215021942",
"telephone_number": "301-268-1606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 MAIN ST",
"city": "LONACONING",
"state": "MD",
"postal_code": "215391122",
"telephone_number": "301-463-5757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIDDY",
"first_name": "LORI",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "10773",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "10773",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lonaconing, MD
Sources for this page
- 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.