Individual provider Active NPI

Emma Grace Puckett, PHARMD

  • Pharmacist
  • Hardinsburg, KY
National Provider Identifier
1114638087
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
022981 Issued in KY
Practice address
675 E Highway 60
Hardinsburg, KY 40143-5802
Phone
(270) 756-2151
NPI assigned
Dec 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 022981 KY Primary

Addresses

Primary practice location

675 E Highway 60
Hardinsburg, KY 40143-5802

Mailing address

9008 Jessica Leigh Dr
Louisville, KY 40228-2197
Phone (270) 617-8096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
022981KYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Towne & Country Pharmacy Florist & Gifts Inc Pharmacist CurrentSince Dec 18, 2022 Accepting new patients

Locations

675 E Highway 60
Hardinsburg, KY 40143
Phone (270) 756-2151

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1114638087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9008 JESSICA LEIGH DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402282197",
            "telephone_number": "270-617-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 E HIGHWAY 60",
            "city": "HARDINSBURG",
            "state": "KY",
            "postal_code": "401435802",
            "telephone_number": "270-756-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "EMMA",
        "middle_name": "GRACE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "022981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardinsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.