Individual provider Active NPI

Kelly Anne McDonald, PHARM.D

  • Oncology Pharmacist
  • Louisville, KY
National Provider Identifier
1629230255
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology PharmacistTaxonomy code 1835X0200X
License
013311 Issued in KY
Practice address
2355 Poplar Level Rd
Ste 302
Louisville, KY 40217-1395
Phone
(502) 636-8088
Fax
(502) 636-8078
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Pharmacist 1835X0200X 013311 KY Primary

Addresses

Primary practice location

2355 Poplar Level Rd
Ste 302
Louisville, KY 40217-1395

Mailing address

2355 Poplar Level Rd
Ste 302
Louisville, KY 40217-1395
Phone (502) 636-8088

Other identifiers 1

IdentifierTypeStateIssuer
013311OtherKYPHARMACIST LICENSE

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

LicenseStateTypeSpecialty
013311KYMDOncology Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Hospitals, Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1629230255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 POPLAR LEVEL RD",
            "address_2": "STE 302",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171395",
            "telephone_number": "502-636-8088",
            "fax_number": "502-636-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 POPLAR LEVEL RD",
            "address_2": "STE 302",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171395",
            "telephone_number": "502-636-8088",
            "fax_number": "502-636-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "KY",
            "license": "013311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "013311",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.