Ingram & Ball, PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07691 Issued in KY

Legal business name

INGRAM & BALL, PLLC

Doing business as

Heartland Primary Care Pharmacy

Practice address

2412 Ring Rd Ste 200
Elizabethtown, KY 42701-5913

Phone

(270) 765-5926

Fax

(866) 263-2295

NPI assigned

Jun 5, 2015

Last updated

Jun 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary Green

Title

Manager

Phone

(502) 939-6085

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heartland Primary Care Pharmacy Doing business as

Tax ID family

Ingram Ball PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ingram & Ball, PLLC

  • Family Medicine Physician
  • Elizabethtown, KY
  • NPI 1831608009
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Glenn Ingram, M.D.

  • Family Medicine Physician
  • Elizabethtown, KY
  • NPI 1437153194
  NPD (past)

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1336529262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 WILDWOOD TRL",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400318232",
            "telephone_number": "502-939-6085",
            "fax_number": "866-263-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 RING RD STE 200",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015913",
            "telephone_number": "270-765-5926",
            "fax_number": "866-263-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRAM & BALL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-939-6085"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152359",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Primary Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Robert Hustead, M.D.
• William Chaise Hutchinson
• Yun Joo Huynh, D.D.S.
• Ijaz Mahmood MD PLC
• Atif Ikram
• Ingram & Ball, PLLC (Heartland Primary Care)
• Ingram & Ball, PLLC
• Jordan Ingram, LCADC
• Robdeisha Ingram
• Thomas Glenn Ingram, M.D.

• Community/Retail Pharmacy in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.