Healthcare Provider Details

I. General information

NPI: 1427620467
Provider Name (Legal Business Name): EMILY NOEL JONES PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY NOEL VANCE

II. Dates (important events)

Enumeration Date: 07/10/2021
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MOORE DR
NICHOLASVILLE KY
40356-8512
US

IV. Provider business mailing address

200 MOORE DR
NICHOLASVILLE KY
40356-8512
US

V. Phone/Fax

Practice location:
  • Phone: 859-887-0013
  • Fax:
Mailing address:
  • Phone: 859-887-0013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number30456
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number024093
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: