Angela Dean, RPH

Individual provider Active NPI Pharmacist · Ft Mitchell, KY

NPI 1508258989 · NPPES record last updated Feb 23, 2015

Key facts

NPI
1508258989
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
012056 (KY)
Practice address
2150 Dixie Hwy
Ft Mitchell, KY 41017-2902
Phone
(859) 331-0078
NPI assigned
Feb 23, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
012056KYMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 012056 KY Yes

Addresses

Primary practice location

2150 Dixie Hwy
Ft Mitchell, KY 41017-2902

Mailing address

2150 Dixie Hwy
Ft Mitchell, KY 41017-2902
Phone (859) 331-0078

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 23, 2015.

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1508258989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 DIXIE HWY",
            "city": "FT MITCHELL",
            "state": "KY",
            "postal_code": "410172902",
            "telephone_number": "859-331-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 DIXIE HWY",
            "city": "FT MITCHELL",
            "state": "KY",
            "postal_code": "410172902",
            "telephone_number": "859-331-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "012056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Mitchell, KY

All providers in Ft Mitchell, KY · Pharmacist in Kentucky

Sources for this page

Verify at the official NPI Registry.