Active NPI
Luke Logan, PHARMD
- Pharmacist
- Georgetown, KY
National Provider Identifier
1114650975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 022791
- Practice address
- 112 Osbourne Way
Georgetown, KY 40324-9636 - Phone
- (502) 867-1935
- NPI assigned
- Jul 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 022791 | KY | Primary |
Addresses
Primary practice location
112 Osbourne Way
Georgetown, KY 40324-9636
Mailing address
124 Dalton Rd
Georgetown, KY 40324-8005
Phone (859) 396-0888
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
| License | State | Type | Specialty |
|---|---|---|---|
| 022791 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1114650975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 DALTON RD",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403248005",
"telephone_number": "859-396-0888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 OSBOURNE WAY",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249636",
"telephone_number": "502-867-1935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "LUKE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-07",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "022791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, KY
- Lana I Little, FNP-C APRN
- Lauren Taylor Little, DMD
- Madison Anne Little, DMD
- Lives Made Stronger Therapy Services, PSC
- Hugh Harrison Loeffler, MD
- Taylor Michelle Long, MED, BCBA, LBA
- Anthony Jay Lopez, MD
- LP Georgetown LLC (Signature HealthCARE of Georgetown)
- Amelia Carol Luckett
- Jerry Jason Lyles, D.C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.