Healthcare Provider Details

I. General information

NPI: 1538954136
Provider Name (Legal Business Name): MICHAEL RICHARD DUENO PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 07/12/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 W LOWRY LN STE 190
LEXINGTON KY
40503-3030
US

IV. Provider business mailing address

201 SIMPSON AVE APT 625
LEXINGTON KY
40504-4117
US

V. Phone/Fax

Practice location:
  • Phone: 859-276-2119
  • Fax: 859-276-2938
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number025118
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: