Wyatt Allen Kincell, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP0013263 Issued in WV

Practice address

500 Suncrest Town Centre Dr
Morgantown, WV 26505-1820

Phone

(304) 285-6781

Fax

(304) 285-6783

NPI assigned

Aug 1, 2022

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Pharmacy

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 and National Provider Directory roles.

• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Morgantown, WV
  • NPI 1316124803
  NPD (past)
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Newport, KY
  • NPI 1104791078
  NPD (past)

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1720715741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 PLUM RUN RD",
            "city": "MANNINGTON",
            "state": "WV",
            "postal_code": "265827299",
            "telephone_number": "304-694-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUNCREST TOWN CENTRE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051820",
            "telephone_number": "304-285-6781",
            "fax_number": "304-285-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCELL",
        "first_name": "WYATT",
        "middle_name": "ALLEN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0013263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle William Kimerer, MD
• Carole Kimpel
• Mithra Kimyai-Asadi, M.D.
• Stephanie Kincaid Depriest, BCBA
• Christine Kincaid, M.D.
• Carl Kinder
• Rebecca Kindred, BA
• Megan Clare King Barricklow, OT
• Sina King-Smith, LPC, RDN
• Alvin King

• Pharmacist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.