Gregory Joe Aldridge, PHARMD
Individual provider Active NPI Pharmacist · Eddyville, KY
NPI 1013510601 · NPPES record last updated Nov 17, 2020
Key facts
- NPI
- 1013510601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 008174 (KY)
- Practice address
- 201 W Main St
Eddyville, KY 42038-7752 - Phone
- (270) 388-2236
- NPI assigned
- Nov 17, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008174 | KY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 008174 | KY | Yes |
Addresses
Primary practice location
201 W Main St
Eddyville, KY 42038-7752
Mailing address
309 Cherokee Loop
Eddyville, KY 42038-7536
Phone (270) 625-2312
Other providers in Eddyville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.