Organization Active NPI

Sears Holding Company

  • Pharmacist
  • Somerset, KY
National Provider Identifier
1215391149
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
183500000X Issued in KY
Legal business name
SEARS HOLDING COMPANY
Practice address
420 E Highway 80
Somerset, KY 42501-1691
Phone
(606) 679-1121
NPI assigned
Apr 6, 2016
Last updated
Apr 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Authorized official

Name
Mr. Dustin Salyer, RPH
Title
District Lead
Phone
(859) 312-9648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 183500000X KY Primary

Addresses

Primary practice location

420 E Highway 80
Somerset, KY 42501-1691

Mailing address

420 E Highway 80
Somerset, KY 42501-1691
Phone (606) 679-1121

Other identifiers 1

IdentifierTypeStateIssuer
183500000XOtherKYPHARMACY

National Provider Directory

National Provider Directory

Locations

420 E Highway 80
Somerset, KY 42501
Phone (606) 679-1121

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1215391149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E HIGHWAY 80",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011691",
            "telephone_number": "606-679-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E HIGHWAY 80",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011691",
            "telephone_number": "606-679-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEARS HOLDING COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "SALYER",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "DISTRICT LEAD",
        "authorized_official_telephone_number": "859-312-9648",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "183500000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "183500000X",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.