Individual provider Active NPI

Sydney Kehr, PHARMD

  • Pharmacist
  • Elkhart, IN
National Provider Identifier
1861035149
Registry record updated Oct 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26028434A Issued in IN
Practice address
3551 Cassopolis St
Elkhart, IN 46514-6743
Phone
(574) 206-0285
NPI assigned
Oct 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26028434A IN Primary

Addresses

Primary practice location

3551 Cassopolis St
Elkhart, IN 46514-6743

Mailing address

3551 Cassopolis St
Elkhart, IN 46514-6743
Phone (574) 206-0285

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rxm.11795@store.walgreens.com

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
26028434AINMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1571443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571443200000",
    "number": "1861035149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 CASSOPOLIS ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465146743",
            "telephone_number": "574-206-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 CASSOPOLIS ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465146743",
            "telephone_number": "574-206-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHR",
        "first_name": "SYDNEY",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-19",
        "last_updated": "2019-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26028434A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.11795@store.walgreens.com",
            "affiliation": "N",
            "address_1": "3551 Cassopolis St",
            "city": "Elkhart",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465146743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2019; 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.