Individual provider Active NPI

Julie Marie Forsythe, PHARMD

  • Pharmacist
  • Hopkinsville, KY
National Provider Identifier
1124621362
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
014504 Issued in KY
Practice address
300 Clinic Dr
Hopkinsville, KY 42240-4989
Phone
(270) 886-1900
Fax
(270) 887-9393
NPI assigned
Nov 19, 2020
Last updated
Nov 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 014504 KY Primary

Addresses

Primary practice location

300 Clinic Dr
Hopkinsville, KY 42240-4989

Mailing address

300 Clinic Dr
Hopkinsville, KY 42240-4989
Phone (270) 886-1900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address J0f01xs.s00653@wal-mart.com

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
014504KYMDPharmacist

Interoperability endpoints

  • Direct secure messaging: j0f01xs.s00653@wal-mart.com

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1124621362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CLINIC DR",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422404989",
            "telephone_number": "270-886-1900",
            "fax_number": "270-887-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CLINIC DR",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422404989",
            "telephone_number": "270-886-1900",
            "fax_number": "270-887-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSYTHE",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "014504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "J0f01xs.s00653@wal-mart.com",
            "affiliation": "N",
            "address_1": "300 Clinic Dr",
            "city": "Hopkinsville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "422404989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.