Active NPI
Cynthia Elliott, RPH, CDE
- Pharmacist
- Hickory, KY
National Provider Identifier
1285168484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 009473
- Practice address
- 4298 State Route 408 W
Hickory, KY 42051-9201 - Phone
- (270) 970-0795
- Fax
- (270) 251-4178
- NPI assigned
- Apr 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 009473 | KY | Primary |
Addresses
Primary practice location
4298 State Route 408 W
Hickory, KY 42051-9201
Mailing address
4298 State Route 408 W
Hickory, KY 42051-9201
Phone (270) 970-0795
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009473 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492041600000",
"number": "1285168484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4298 STATE ROUTE 408 W",
"city": "HICKORY",
"state": "KY",
"postal_code": "420519201",
"telephone_number": "270-970-0795",
"fax_number": "270-251-4178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4298 STATE ROUTE 408 W",
"city": "HICKORY",
"state": "KY",
"postal_code": "420519201",
"telephone_number": "270-970-0795",
"fax_number": "270-251-4178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "CYNTHIA",
"credential": "RPH, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-13",
"last_updated": "2017-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "009473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hickory, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.