Active NPI
David A Due
- Pharmacist
- Walton, KY
National Provider Identifier
1659405678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5571
- Practice address
- 305 Mary Grubbs Hwy
Walton, KY 41094-7483 - Phone
- (859) 485-7733
- NPI assigned
- Mar 14, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 5571 | KY | Primary |
Addresses
Primary practice location
305 Mary Grubbs Hwy
Walton, KY 41094-7483
Mailing address
614 Mustang Dr
Walton, KY 41094-9347
Phone (859) 485-7668
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KKB Corporation | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659405678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 MUSTANG DR",
"city": "WALTON",
"state": "KY",
"postal_code": "410949347",
"telephone_number": "859-485-7668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 MARY GRUBBS HWY",
"city": "WALTON",
"state": "KY",
"postal_code": "410947483",
"telephone_number": "859-485-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUE",
"first_name": "DAVID",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "5571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walton, KY
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.