Goforth Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07201 Issued in KY

Legal business name

GOFORTH PHARMACY LLC

Doing business as

Hometown Pharmacy

Practice address

406 Bogle St
Somerset, KY 42503

Phone

(606) 677-1062

Fax

(606) 677-1182

NPI assigned

Aug 5, 2007

Last updated

Aug 19, 2009By 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

Robert Goforth, PHRMD

Title

President

Phone

(606) 305-1321

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• HOMETOWN PHARMACY Doing business as

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250640000000",
    "number": "1356532352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 BOGLE ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032840",
            "telephone_number": "606-677-1062",
            "fax_number": "606-677-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 BOGLE ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42503",
            "telephone_number": "606-677-1062",
            "fax_number": "606-677-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOFORTH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2009-08-19",
        "status": "A",
        "authorized_official_last_name": "GOFORTH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-305-1321",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100025300",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1830288",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100004180",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOMETOWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Michael Girdler, LPCC
• Sarah E Godbey, PA-C
• Elizabeth Godsey, LPCC
• Laurie Lee Goff, APRN
• Robin Shawn Goff, APRN
• Emily Anna Golden, MA, LPCA
• Jeffery W Golden, M.D.
• Misty R Goldson, PMHNP, FNP
• Kimberley Kavanaugh Goodloe, MS
• Brandon Goodpaster, DC

• Community/Retail Pharmacy in Somerset, KY
• Providers in Somerset, 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 Aug 19, 2009; 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.