Justin Darrell Sansom, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

022244 Issued in KY

Practice address

911 Bypass Rd
Pikeville, KY 41501-1602

Phone

(606) 430-3500

NPI assigned

Aug 25, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elkhorn Drug Inc

  • Community/Retail Pharmacy
  • Elkhorn City, KY
  • NPI 1730294760
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1063189140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 COLEMAN RD",
            "city": "ELKHORN CITY",
            "state": "KY",
            "postal_code": "415227864",
            "telephone_number": "606-213-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 BYPASS RD",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011602",
            "telephone_number": "606-430-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5571 Collins Hwy",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415016846",
            "country_code": "US",
            "telephone_number": "606-639-4588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 E Elkhorn St",
            "address_purpose": "LOCATION",
            "city": "Elkhorn City",
            "state": "KY",
            "postal_code": "415228557",
            "country_code": "US",
            "telephone_number": "606-754-0221",
            "fax_number": "606-754-0225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANSOM",
        "first_name": "JUSTIN",
        "middle_name": "DARRELL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-25",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835C0207X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Compounded Sterile Preparations",
            "state": "KY",
            "license": "022244",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "KY",
            "license": "022244",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "022244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany A Salyers, D.O.
• David Sammons II, APRN
• Sydney Nichole Sampson
• Samuel J King MD
• Robin Sanger, FNP-BC
• Myla Santiago, MD
• Alexander M Saurer, MD
• Saving Grace LLC
• Saving Grace of Ohio, LLC
• Nicholas P Schaub, M.D.

• Pharmacist in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.