Kendall Keith Kilbourne, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

011078 Issued in KY

Practice address

410 Richmond
Mount Vernon, KY 40456-0796

Phone

(606) 256-3447

NPI assigned

Aug 31, 2016

Last updated

Aug 31, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mt Vernon Drug Inc

  • Pharmacy
  • Mount Vernon, KY
  • NPI 1265473144
  NPD (past) Authorized official
• Somerset Healthmart Pharmacy Inc

  dba Langdon St Pharmacy

  • Community/Retail Pharmacy
  • Somerset, KY
  • NPI 1134395627
  Authorized official Same address or phone
• Mt. Vernon Drug, Inc.

  dba Stanford Drug

  • Community/Retail Pharmacy
  • Stanford, KY
  • NPI 1730285545
  NPD (past)

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1689120412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 796",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404560796",
            "telephone_number": "606-256-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 RICHMOND",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404560796",
            "telephone_number": "606-256-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILBOURNE",
        "first_name": "KENDALL",
        "middle_name": "KEITH",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "011078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renzee Jade Jarvis, PHARMD
• Jennifer S. Chadwell DMD
• Mary Joenborg
• Jamie D. Jones, RPH
• Kentucky Premier Personal Care LLC
• Erin King
• Tracy Renee King, PHARMD
• Kelsey Ladd, M.D
• Ruth Lane
• Chelsen S Larkey, LPCA

• Pharmacist in Mount Vernon, KY
• Providers in Mount Vernon, KY by specialty
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.