Penny Sue Liles, PHARMD

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

011827 Issued in KY

Practice address

Route 1 Box 1005
Tollesboro, KY 41189

Phone

(606) 798-2072

Fax

(606) 798-2222

NPI assigned

Nov 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386714244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 73 BOX 1002",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "411799408",
            "telephone_number": "606-796-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 1 BOX 1005",
            "city": "TOLLESBORO",
            "state": "KY",
            "postal_code": "41189",
            "telephone_number": "606-798-2072",
            "fax_number": "606-798-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILES",
        "first_name": "PENNY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "KY",
            "license": "011827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lee Gilliland
• Erin M Himes, PAC
• Lewis County Health Department (Tollesboro Elementary School)
• Lewis County Primary Care Center, Inc. (PrimaryPlus)
• Lewis County Primary Care Center, Inc. (Tollesboro Clinic Pharmacy)
• Trayla Liles I
• Patti S Poczatek, M.D.

• Pharmacotherapy Pharmacist in Tollesboro, KY
• Providers in Tollesboro, KY by specialty
• Pharmacotherapy Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.