Breanna Paige Ferguson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

022805 Issued in KY

Practice address

515 N 12TH St
Middlesboro, KY 40965-1131

Phone

(606) 248-2093

NPI assigned

Aug 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Newport, KY
  • NPI 1104791078
  NPD (past)
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Middlesboro, KY
  • NPI 1760416580
  NPD (past)

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1366170243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451",
            "city": "FLAT LICK",
            "state": "KY",
            "postal_code": "409350451",
            "telephone_number": "606-499-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N 12TH ST",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651131",
            "telephone_number": "606-248-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "BREANNA",
        "middle_name": "PAIGE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "022805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "F11-121-310",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Discount Drugs
• Family Health Care Associates 12 LLC
• Family Health Care Associates of Corbin
• Bridgett Farley
• Fast Pace Kentucky PLLC
• Fountain Square Pharmacy
• Freedom Mobility Center, Inc
• Ashley N. Fultz, APRN, FNP-BC
• Ethan Blake Gambrel, PT, DPT
• Michelle A Garrett, O.D.

• All providers in Middlesboro, KY
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.