1295335859 NPI number — DR. JON DARRELL QUILLEN PHARMD

Table of content: DR. JON DARRELL QUILLEN PHARMD (NPI 1295335859)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295335859 NPI number — DR. JON DARRELL QUILLEN PHARMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
QUILLEN
Provider First Name:
JON
Provider Middle Name:
DARRELL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHARMD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295335859
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/31/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
141 LOGAN LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NICHOLASVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40356-9629
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
103 BRYANT DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NICHOLASVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40356-8058
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-881-1647
Provider Business Practice Location Address Fax Number:
859-881-0427
Provider Enumeration Date:
10/31/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  012529 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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