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1538771365 NPI number — WADE MCKINLEY PHARMD

NPI Number: 1538771365
Health Care Provider/Practitioner: WADE MCKINLEY PHARMD

Information about “1538771365” NPI (WADE MCKINLEY PHARMD) exists in 1538771365 in HTML format HTML  |  1538771365 in plain Text format TXT  |  1538771365 in PDF (Portable Document Format) PDF  |  1538771365 in an XML format XML  formats.

NPI Number : 1538771365 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538771365",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCKINLEY",
    "FirstName": "WADE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1000 CHERRYWOOD PL STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LA GRANGE",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40031-8927",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "502-465-5500",
    "MailingAddressFaxNumber": "502-465-5600",
    "FirstLinePracticeLocationAddress": "1000 CHERRYWOOD PL STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LA GRANGE",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40031-8927",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "502-465-5500",
    "PracticeLocationAddressFaxNumber": "502-465-5600",
    "EnumerationDate": "08/21/2020",
    "LastUpdateDate": "08/21/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "012375",
        "LicenseNumberStateCode": "KY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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