Kelli Barker Horne – Pharmacotherapy Pharmacist

Key facts

NPI: 1497932370
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacotherapy Pharmacist 1835P1200X
License: 12966 (NC)
Practice address: 27 W Main St
Hamlet, NC 28345-3629
Phone: (910) 582-3585
Fax: (910) 582-3586
NPI assigned: Jan 23, 2008
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Birmingham Drug Co Inc Community/Retail Pharmacy · Hamlet, NC · NPI 1558353110

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Pharmacy

State licenses

License	State	Type	Specialty
12966	NC	MD	Pharmacotherapy Pharmacist

Practice roles

Organization	Specialty	Status	New patients
Birmingham Drug Co Inc		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacotherapy Pharmacist	1835P1200X	12966	NC	Yes

Addresses

Primary practice location

27 W Main St
Hamlet, NC 28345-3629

Mailing address

27 W Main St
PO Box 31
Hamlet, NC 28345-3629
Phone (910) 582-3585

Other identifiers

Identifier	Type	State	Issuer
1497932370	Medicaid	NC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 14, 2011.

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1497932370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 W MAIN ST",
            "address_2": "PO BOX 31",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283453629",
            "telephone_number": "910-582-3585",
            "fax_number": "910-582-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 W MAIN ST",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283453629",
            "telephone_number": "910-582-3585",
            "fax_number": "910-582-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNE",
        "first_name": "KELLI",
        "middle_name": "BARKER",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NC",
            "license": "12966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497932370",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamlet, NC

All providers in Hamlet, NC · Pharmacotherapy Pharmacist in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.