Abby Bomar

Primary specialty

PharmacistTaxonomy code 183500000X

License

48163 Issued in TN

Practice address

1405 Middle Rd
Fulton, KY 42041-7905

Phone

(270) 472-1426

NPI assigned

Aug 27, 2024

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 27, 2024.

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1194559872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 OLD SPRINGVILLE RD",
            "city": "SPRINGVILLE",
            "state": "TN",
            "postal_code": "382564928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 MIDDLE RD",
            "city": "FULTON",
            "state": "KY",
            "postal_code": "420417905",
            "telephone_number": "270-472-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMAR",
        "first_name": "ABBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "48163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arcare
• Board of Education of Fulton Kentucky
• Bradley Chiropractic, PLLC
• Mallory K Bradley, D.C.
• Kimberly Dawn Brinkley, APRN
• Mary Burditt
• Elizabeth Jane Campbell, PHARMD

• All providers in Fulton, KY
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.