Erica Paige Hall, PHARMACIST

Individual provider Active NPI Pharmacist · Betsy Layne, KY

NPI 1336733757 · NPPES record last updated Feb 25, 2021

Key facts

NPI
1336733757
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
016059 (KY)
Practice address
11155 US Hwy 23 South
Betsy Layne, KY 41605-4160
Phone
(606) 478-9474
NPI assigned
Feb 25, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
016059KYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Betsy Layne Pharmacy Inc Current
since Mar 28, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 016059 KY Yes

Addresses

Primary practice location

11155 US Hwy 23 South
Betsy Layne, KY 41605-4160

Mailing address

11155 US Hwy 23 South
Betsy Layne, KY 41605
Phone (606) 478-9474

Other providers in Betsy Layne, KY

All providers in Betsy Layne, KY · Pharmacist in Kentucky

Sources for this page

Verify at the official NPI Registry.