Active NPI
Theresa Mahoney, PHARMD
- Pharmacist
- Lebanon, KY
National Provider Identifier
1609704816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 010878
- Practice address
- 320 N Loretto Rd
Lebanon, KY 40033-1300 - Phone
- (270) 692-5276
- NPI assigned
- May 11, 2026
- Last updated
- May 11, 2026
- 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 | 010878 | KY | Primary |
Addresses
Primary practice location
320 N Loretto Rd
Lebanon, KY 40033-1300
Mailing address
267 Icetown Rd
Boston, KY 40107-8446
Phone (502) 275-6572
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 |
|---|---|---|---|
| 010878 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1609704816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 ICETOWN RD",
"city": "BOSTON",
"state": "KY",
"postal_code": "401078446",
"telephone_number": "502-275-6572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 N LORETTO RD",
"city": "LEBANON",
"state": "KY",
"postal_code": "400331300",
"telephone_number": "270-692-5276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONEY",
"first_name": "THERESA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-11",
"last_updated": "2026-05-11",
"certification_date": "2026-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "010878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, KY
- Kimberly Dean Lobb, MHA
- Dana Michelle Logsdon, APRN
- Marvin D Mabry, D.C.
- Ruth Elaine Mackey, OT
- Constance Louise Mahin, APRN FNP-C
- Jared Rick Malan, DPM
- Bobbie Marcum, ARNP RN
- Marion County Adult Day Health Inc
- Marion County Anesthesia Associates PLLC
- Marion County County Treasurer (Marion County EMS)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.