Individual provider Active NPI

Kelsey Lauren Hallman, PHARMD

  • Pharmacist
  • Louisville, KY
National Provider Identifier
1841890225
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
017923 Issued in KY
Practice address
5360 Dixie Hwy
Louisville, KY 40216-1564
Phone
(502) 447-4745
Fax
(502) 447-4977
NPI assigned
Oct 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26026228A IN
Pharmacist 183500000X 017923 KY Primary

Addresses

Primary practice location

5360 Dixie Hwy
Louisville, KY 40216-1564

Mailing address

5360 Dixie Hwy
Louisville, KY 40216-1564
Phone (502) 447-4745

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
26026228AINMDPharmacist
017923KYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores East LP PastSince Nov 1, 2020 Accepting new patients
Wal-Mart Stores East, LP PastSince Nov 1, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1841890225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161564",
            "telephone_number": "502-447-4745",
            "fax_number": "502-447-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161564",
            "telephone_number": "502-447-4745",
            "fax_number": "502-447-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLMAN",
        "first_name": "KELSEY",
        "middle_name": "LAUREN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26026228A",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "017923",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 27, 2020; 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.