Carla Allahham

Individual provider Active NPI Pharmacist · Danville, KY

NPI 1154948412 · NPPES record last updated Jul 2, 2020

Key facts

NPI
1154948412
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
011360 (KY)
Practice address
100 Walton Ave
Danville, KY 40422-8414
Phone
(859) 236-2411
NPI assigned
Jul 2, 2020
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
011360KYMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 011360 KY Yes

Addresses

Primary practice location

100 Walton Ave
Danville, KY 40422-8414

Mailing address

685 Spears LN
Danville, KY 40422-9263
Phone (859) 583-2813

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 2, 2020.

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1154948412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 SPEARS LN",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229263",
            "telephone_number": "859-583-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WALTON AVE",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228414",
            "telephone_number": "859-236-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLAHHAM",
        "first_name": "CARLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "011360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

All providers in Danville, KY · Pharmacist in Kentucky

Sources for this page

Verify at the official NPI Registry.