Basic Information
Provider Information
NPI: 1538784715
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROMANELLI
FirstName: FRANK
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: PHARMD, MPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: UNIV OF KENTUCKY COLLEGE OF PHARMACY
Address2: 780 SOUTH LIMESTONE ROAD
City: LEXINGTON
State: KY
PostalCode: 40536
CountryCode: US
TelephoneNumber: 8592574778
FaxNumber:  
Practice Location
Address1: UK BLUEGRASS CARE CLINIC
Address2: 740 S LIMESTONE STE L504
City: LEXINGTON
State: KY
PostalCode: 40536
CountryCode: US
TelephoneNumber: 8593235544
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/12/2020
LastUpdateDate: 09/29/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/29/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1835P2201X011328KYN    
1835P0018X011328KYY Pharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

No ID Information.


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