Active NPI
Ladonna Borge, R.PH.
- Pharmacist
- Berea, KY
National Provider Identifier
1679500151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 010756
- Practice address
- 120 Jill Dr
Berea, KY 40403-1677 - Phone
- (859) 986-3113
- Fax
- (859) 986-3733
- NPI assigned
- Jun 28, 2006
- Last updated
- May 2, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 010756 | KY | Primary |
Addresses
Primary practice location
120 Jill Dr
Berea, KY 40403-1677
Mailing address
120 Jill Dr
Berea, KY 40403-1677
Phone (859) 986-3113
Other practice location 1
101 E Reynolds Rd
Walgreens
Lexington, KY 40517-1249
Phone (859) 272-0476
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010756 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525219200000",
"number": "1679500151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 JILL DR",
"city": "BEREA",
"state": "KY",
"postal_code": "404031677",
"telephone_number": "859-986-3113",
"fax_number": "859-986-3733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 JILL DR",
"city": "BEREA",
"state": "KY",
"postal_code": "404031677",
"telephone_number": "859-986-3113",
"fax_number": "859-986-3733"
}
],
"practiceLocations": [
{
"address_1": "101 E Reynolds Rd",
"address_2": "Walgreens",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405171249",
"country_code": "US",
"telephone_number": "859-272-0476",
"fax_number": "859-272-0780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORGE",
"first_name": "LADONNA",
"name_prefix": "Ms.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2018-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "010756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berea, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.