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
| License | State | Type | Specialty |
|---|---|---|---|
| 011360 | KY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.