1. Home
  2. Directory
  3. West Virginia
  4. Cabin Creek
  5. Pharmacist
  6. NPI Profile

KELLIE NICOLE RENNER PHARMD
NPI 1104173178
Pharmacist in Cabin Creek, WV

Active since August 09, 2012
15063 MACCORKLE AVE SE, CABIN CREEK, WV 25035(304) 595-4900(304) 595-4652 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kellie Nicole Renner Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE NICOLE RENNER PHARMD (NPI 1104173178) is an individual pharmacist in Cabin Creek, West Virginia, licensed in West Virginia (RP0010032) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1104173178
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKELLIE NICOLE RENNERCredential: PHARMD
Location Address15063 MACCORKLE AVE SECabin Creek, WV 25035
Mailing Address15063 Maccorkle Ave SeCabin Creek, WV 25035 · (304) 595-4900
Phone(304) 595-4900
Fax(304) 595-4652
Sole ProprietorNo
Enumeration DateAugust 9, 2012
Last NPPES UpdateJune 17, 2019
✔ NPI 1104173178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in WV · RP0010032✔ Licensed in VA · 0202211578
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
15063 MACCORKLE AVE SE, Cabin Creek, WV 25035
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERRI H JOHNSON PHARMD
Pharmacist
15063 MACCORKLE AVE SE
CABIN CREEK, WV 25035
Kanawha County (304) 595-4900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Renner's NPI number?

The NPI number for Kellie Renner is 1104173178. It was assigned to this individual provider in the NPPES registry on August 9, 2012.

Where is Kellie Renner located?

Kellie Renner practices at 15063 Maccorkle Ave SE, Cabin Creek, WV 25035. The listed phone number is (304) 595-4900.

What is Kellie Renner's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kellie Renner was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.