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

Last updated

Aug 7, 2025By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elkhorn Drug Inc

  dba Elkhorn Drug

  • 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 (Saving Grace)
• 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.