Active NPI
Gerard M. Hyland, RPH
- Pharmacist
- Manchester, KY
National Provider Identifier
1366507717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 006490
- Practice address
- 103 Main St
Manchester, KY 40962-1286 - Phone
- (606) 598-5025
- NPI assigned
- Dec 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 006490 | KY | Primary |
Addresses
Primary practice location
103 Main St
Manchester, KY 40962-1286
Mailing address
515 Memorial Dr.
Suite 2
Manchester, KY 40962
Phone (606) 598-3674
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006490 | Other | KY | PHARMACIST LICENSE |
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 |
|---|---|---|---|
| 006490 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1366507717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 MEMORIAL DR.",
"address_2": "SUITE 2",
"city": "MANCHESTER",
"state": "KY",
"postal_code": "40962",
"telephone_number": "606-598-3674",
"fax_number": "606-598-0007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 MAIN ST",
"city": "MANCHESTER",
"state": "KY",
"postal_code": "409621286",
"telephone_number": "606-598-5025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYLAND",
"first_name": "GERARD",
"middle_name": "M.",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "006490",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "006490",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.